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For: GSR's/Alt. GSR's/Mail Contacts/All Group ChangesGROUP INFORMATION CHANGE FORM DATE: GROUP SERVICE No. DISTRICT No. AREA No. 06No. OF MEMBERS: DISTRICT No. OLD INFORMATION INFORMATIONGROUP NAME:

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PDF NE Ohio Alcoholics is a form used to report information about alcoholics in Ohio.

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Healthcare professionals or treatment centers in Ohio are required to file PDF NE Ohio Alcoholics.

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PDF NE Ohio Alcoholics requires information such as name, age, gender, address, alcohol use history, and treatment progress.

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