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1. Name, date of birth, sex, weight and height.
2. A neo-natal report on the child, including—
(a)details of the birth, and any complications,
(b)results of a physical examination and screening tests,
(c)details of any treatment given,
(d)details of any problem in management and feeding,
(e)any other relevant information which may assist the panel,
(f)the name and address of any doctor who may be able to provide further information about any of the above matters.
3. A full health history and examination of the child, including—
(a)details of any serious illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given,
(b)details and dates of immunisations,
(c)a physical and developmental assessment according to age, including an assessment of vision and hearing and of neurological, speech and language development and any evidence of emotional disorder,
(d)for a child over five years of age, the school health history (if available),
(e)any other relevant information which may assist the panel.
4. The signature, name, address and qualifications of the registered medical practitioner who prepared the report, the date of the report and of the examinations carried out together with the name and address of any doctor (if different) who may be able to provide further information about any of the above matters.
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