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Get MI BCAL-3731 2015-2024

By the Department of Licensing and Regulatory Affairs to secure emergency medical for the above named minor child while in care. I certify that I accurately completed this form and if anything changes, I will notify the provider by updating this form. Signature of Parent or Guardian Date Card Reviewed Date Signed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal.

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