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Newborn Screening Program Hospital Contacts and Designees NEW YORK STATE DEPARTMENT OF HEALTH Wadsworth Center Complete this form and return to: casino health.NY.gov Newborn Screening Program Wadsworth
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The purpose of designee formdocx - wadsworth is to legally authorize someone else to act on behalf of the person or entity filing the form.
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Designee formdocx - wadsworth requires information about the designated individual or entity, their relationship to the filer, and authorization details.
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