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What is Gender-Based Violence Screening Form about?

This document is a gender violence screening form that collects information on possible indicators of physical, sexual, psychological abuse, and neglect in children, adolescents, and adults. It contains questions about mistreatment, inappropriate touching, and dates of incidents. It also includes a list of possible physical, sexual, and psychological indicators of abuse that can be marked. The form is used to refer the patient for an initial psychological evaluation.

Author

ScribdTranslations

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EN