Form 1643A Getting to Know Me - Infant / Toddler (0-3 Years Old) - New Hampshire

What Is Form 1643A?

This is a legal form that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1643A?
A: Form 1643A is a document used in New Hampshire to gather information about infants and toddlers aged 0-3 years old.

Q: Who needs to fill out Form 1643A?
A: Parents or guardians of infants and toddlers aged 0-3 years old in New Hampshire are required to fill out Form 1643A.

Q: What information is required in Form 1643A?
A: Form 1643A asks for information about the child's basic details, such as name, date of birth, and address, as well as information about the child's development, health, and any special needs.

Q: Why is Form 1643A important?
A: Form 1643A helps the state of New Hampshire gather important information about infants and toddlers to better understand their needs and provide appropriate services and support.

Q: Is Form 1643A confidential?
A: Yes, the information provided on Form 1643A is confidential and will only be used for the purpose of assessing and providing services to the child.

Q: Do I need to fill out Form 1643A every year?
A: No, Form 1643A only needs to be filled out once for each child, unless there are significant changes in the child's development or needs that need to be reported.