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Below are areas that are to be shared by the parent/guardian to the support worker. Please could the questions and prompt boxes be complete, with the parent/guardian signing to confirm information given and the support worker signing to confirm information received.

If you require more information or clarification on any of the details regarding this consent form please email info@familysupportwales.co.uk or carmarthenshire@familysupportwales.co.uk or your area office phone number: 01639 899978 or 01267 868041

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