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LYME DISEASE CASE REPORT FORM Montgomery County Health Department Patients last nameFirst nameable. No.() Addressing State Age (yrs.) County Sex M F Unseen. Date of Birth Amer. Indian/Eskimo Asian/Pacific
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What is age yrs?
Age yrs refers to the age in years.
Who is required to file age yrs?
Anyone who needs to report their age in years for a specific purpose.
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You can fill out age yrs by simply stating your age in years.
What is the purpose of age yrs?
The purpose of age yrs is to provide information about someone's age in years.
What information must be reported on age yrs?
The only information needed to be reported on age yrs is the age in years.
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