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Rheoliadau Asiantaethau Mabwysiadu (Cymru) 2005
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Rheoliad 16(2)
RHAN 5MANYLION YNGHYLCH IECHYD RHIENI A BRODYR A CHWIORYDD NATURIOL Y PLENTYN
1. Enw, dyddiad geni, rhyw, pwysau a thaldra'r ddau riant naturiol.
2. Hanes iechyd y teulu, sy'n ymwneud â dau riant naturiol y plentyn, brodyr a chwiorydd y plentyn (os oes rhai) a'r plant arall (os oes rhai) gan bob rhiant gyda manylion unrhyw salwch corfforol difrifol neu salwch meddwl difrifol a chlefyd neu anhwylder etifeddol.
3. Hanes iechyd dau riant naturiol y plentyn, gan gynnwys manylion unrhyw salwch corfforol difrifol neu salwch meddwl difrifol, camddefnyddio cyffuriau neu alcohol, anabledd, damwain neu dderbyn i ysbyty, ac ym mhob achos unrhyw driniaeth a gafwyd y mae'r asiantaeth o'r farn ei bod yn berthnasol.
4. Crynodeb o hanes obstetrig y fam, gan gynnwys unrhyw broblemau yn y cyfnod cyn geni, esgor ac ar ôl geni, gyda chanlyniadau unrhyw brofion a wnaed yn ystod neu'n syth ar ôl beichiogrwydd.
5. Manylion unrhyw salwch presennol, gan gynnwys y driniaeth a'r prognosis.
6. Unrhyw wybodaeth berthnasol arall y mae'r asiantaeth yn ystyried a all gynorthwyo'r panel.
7. Llofnod, enw, cyfeiriad, Rhif ffôn a chymwysterau unrhyw ymarferydd meddygol cofrestredig a roddodd unrhyw wybodaeth sydd yn y Rhan hon ynghyd ag enw a chyfeiriad unrhyw feddyg arall a allai roi gwybodaeth bellach am unrhyw rai o'r materion uchod.
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