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Maine Health Care Advance Directives Name (please print) My Address My Birthplace I have given copies of this form to: About Your Health Care Advance Directive A Description of Maine Law on Health
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Your birthplace is the location where you were born.
Your birthplace is typically filed by your parents or guardians at the time of your birth registration.
Your birthplace can be filled out by providing the city or town where you were born.
The purpose of your birthplace is to document the location where you were born for official records and identification purposes.
The information reported on your birthplace includes the city or town where you were born.
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