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MICHIGAN ADOLESCENT PREGNANCY PARENTING PROGRAM (MIA PPP)INTENT TO APPLY FORM An electronic version of this form is available online at www.michigan.gov/teenpregnancyAgency: Address: City: State:
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The Michigan Adolescent Pregnancy Amp is a report that tracks data on adolescent pregnancies in the state of Michigan.
Healthcare providers, clinics, and hospitals are required to file the Michigan Adolescent Pregnancy Amp.
The Michigan Adolescent Pregnancy Amp can be filled out online or submitted through the designated reporting system provided by the state health department.
The purpose of the Michigan Adolescent Pregnancy Amp is to gather data on adolescent pregnancies for research, planning, and prevention efforts.
Information such as age, race, healthcare provider, and pregnancy outcomes must be reported on the Michigan Adolescent Pregnancy Amp.
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