Louisiana Children’s Code 1125 – Statement of family history; contents; form
Current as of: 2024 | Check for updates
|
Other versions
Terms Used In Louisiana Children's Code 1125
- Child: means a person under eighteen years of age and not emancipated by marriage. See Louisiana Children's Code 1103
A. The Statement of Family History shall contain the following nonidentifying information, if known:
(1) The age of each biological parent.
(2) Descriptive information about each biological parent.
(3) The biological relationship between parents, if applicable.
(4) Explicit and extensive medical genetic history of each biological parent and his parents, siblings, grandparents, great-grandparents, aunts, uncles, and cousins.
STATEMENT OF FAMILY HISTORY
Child’s Biological MOTHER
Child’s Biological FATHER
Does the child have or has the child had any other serious illnesses or medical conditions?