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White Water Rentals, Inc., P.O. Box 31, Whipple, PA 15470, 18009927238 PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT ON MIDDLE YOUTH Please print clearly one letter per box. Each
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Middle Yough Waiver is a program that provides home and community-based services to individuals with disabilities in Pennsylvania.
Individuals with disabilities who are seeking home and community-based services in Pennsylvania are required to file Middle Yough Waiver.
Middle Yough Waiver can be filled out online through the Pennsylvania Department of Human Services website or by contacting the local County Assistance Office.
The purpose of Middle Yough Waiver is to provide individuals with disabilities the support they need to live in their communities and receive services in their homes.
Information such as personal information, medical history, current services and supports, and needs assessment must be reported on Middle Yough Waiver.
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