GEORGIA DIVISION OF FAMILY AND CHILDREN SERVICES
FOSTER CHILD INFORMATION SHEET

Child’s name:
Name child prefers to be called:
Child’s birthdate:
Social Security Number:
Reason child is in foster care:
Medical history (i.e. disorders, allergies, dental history):
Psychological/social history or other behavioral concerns:
School history (including last school attended, achievement level, school adjustment):
Foster care history (including area of city and why child was moved):
Does the child have a special toy or other item? Is it with him/her now?
Child’s sleep patterns/rituals:
Child’s food likes and dislikes:
Are pictures of the child’s family available? Are they with the child now?
Where is the child’s family?
Who are the members of the child’s immediate family?
Are the child’s sibling(s) in foster care? If yes, where?
What are the plans for this child?
What are the religious preferences for the child, if any?
Are there clothing preferences for the child (i.e. color, style)?
Does the child have any fears?
Does the child have any special skills or achievements?

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