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Childs Name: ___TEXAS EARLY HEARING AND INTERVENTIONA ROADMAP FOR FAMILIES BEFORE 1 MONTHBIRTH Newborn Hearing Screen Date: ___ /___ /___Outpatient Hearing Screen (or Rescreen) Place: ___Childs Date

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Individuals who have a need to document certain information early in the state of Texas.

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The Texas Early Form is a document that must be filed by certain entities to report specific tax information to the state of Texas.

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