MHE Summary Template

Psychiatry & Psychology
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[text name="variable_1" default="Name"] a [select name="variable_1" value="16|17|18|19|20|21|22|23|24|25|26"] year old [select name="variable_2" value="white|black|mixed race|African American|Asian American|Latina|Latino|Native American|Native Hawaiian|Pacific Islander|Alaska Native"] [select name="variable_3" value="male|female|non-binary individual|genderqueer individual|transgender individual|trans man|trans woman"] presented for assessment independently. [text name="variable_1"] reported that
[select name="variable_4" value="he was|she was|they were"] seeking assessment for
[textarea name="variable_1" default="Reason for seeking assesment"].
a year old presented for assessment independently. reported that
seeking assessment for
.

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