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APPLICATION FOR MONROE COUNTY OASIS RESIDENTIAL SERVICES UPDATED 1/8/2016APPLICANT Informational Name:First Name:Middle Initial:Maiden Name (Name on birth certificate):NY SID×Gender:Have you ever

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The PDF contains information about maternity care provided by Evergreen Health.

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All healthcare providers who offer maternity care services are required to file the document.

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The purpose of the document is to report on the maternity care services provided by Evergreen Health.

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Information such as number of deliveries, prenatal care provided, postnatal care provided, etc., must be reported on the document.

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