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If you need help with reading writing hearing etc. under the Americans with Disabilities Act you are invited to make your needs known to a DHS office in your area. AUTHORITY 1973 PA 116 COMPLETION Required PENALTY Rule Violation Citation.. I give permission to Bloomin Preschools licensed by the Department of Human Services Provider s Name to secure emergency medical and/or emergency surgical treatment for the above named minor child while in care. BCAL-3731 Rev. 7-12 Previous editions 9-09...
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