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Caregiver Support Group - Referral Source Only
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* Indicates required question
Name of caregiver referred:
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Your answer
Does the caregiver believe the maltreatment occurred?
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Yes
No
Maybe
Are there interfamilial dynamics (such as inappropriate contact between familial children of different households) that would result in conflict should both caregivers be in the same group?
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Yes
No
Maybe
If Yes/Maybe, please explain
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Your answer
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