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JGZ-richtlijn secundaire preventie kindermishandeling bijlage 14

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inforMatieforMulier voor het ManaGeMent biJ MeldinG van KinderMishandelinG biJlaGe 14

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bijlage 14 informatieformulier voor het management

bij melding van kindermishandeling

locatie arts

verpleegkundige datum signalering beslissing

Melden bij aMK/raad voor de Kinderbescherming, bij twijfel: melden bij aMK

anders, nl.: ………. resultaat: na melden:

a. vrijwillige hulpverlening, nl.: ………

b. inschakelen raad voor de Kinderbescherming c.q. politie c. anders, nl.: ………….

initialen kind/jeugdige: Geboortedatum: …………..

Geslacht o jongen o meisje nationaliteit

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