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Annual Adult Participant Health and Medical Form Please fill out this form for anyone who is age 18 (out of high school) and older. NAME OF PARTICIPANT (First, Middle, Last):PARISH/SCHOOLADDRESS:CITY,

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Any individual or entity in New York that is required to complete specific adult care forms as mandated by the state health department.

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wwwhealthnygovfacilitiesadultcareforms in New York is a website where adult care facilities can find necessary forms and information.

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The purpose of wwwhealthnygovfacilitiesadultcareforms in New York is to ensure that adult care facilities comply with regulations by providing an avenue for necessary reporting and documentation.

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