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Get DD 2792 2006

Needs. The addenda to the medical summary are completed only if noted in Item 8 of the Demographics/Certification section (p.2). The Exceptional Family Member Program (EFMP)/ Special Needs Identification and Clearance (SNIAC) Screening Coordinator and the Parent/Guardian or Person of Majority Age sign Items 6b and 9b only after all addenda have been completed and the form reviewed for completeness and accuracy. AUTHORIZATION FOR DISCLOSURE (Page 1). Health Insurance Portability and Accountabilit.

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