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Guidance for Completing State Form 9966 Statutory Authority: I.C. 311927 Time of Filing: The original copy of this form shall be filed with the Clerk of Court accompanying the petition, or within.

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  2. Carefully review the form sections and begin with Section I, Affirmation. This section requires the user’s written signature and affirmation of the truths stated in the document.
  3. Fill out Section II, Medical History, ensuring that all information is typed or clearly printed in black ink. Use plain language to convey the medical history, as the recipient may not have a medical background.
  4. In Items 1 through 6 of Section II, tick the appropriate boxes that apply to the medical conditions of the birth family members. Provide brief details in the Details section if necessary.
  5. For Newborn Screening Disorders, if applicable, include any positive results or follow-up tests in the Details section. This section is crucial for individuals born on or after July 1, 1985.
  6. If relevant, report birth weight, length, and APGAR scores in the Details section for the adopted person under the age of three.
  7. In the Details section, provide supplementary information for the medical conditions reported, clearly identifying each condition by item number.
  8. Ensure all pages, including the original form and any additional sheets, are labeled with the page number and total number of pages.
  9. After all fields have been completed, save your changes. You may download, print, or share the form as required.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232