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Get WI DCF-F-CFS0828 2023-2024

5(6)(h). Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04(1)(m), Wisconsin Statutes . Instructions: Each adoptive parent shall present this form to a physician, nurse practitioner, or physician s assistant to be flled out and signed upon completion of the required health examination. The sections in this document are to be completed by the following individuals: Section I Adoptive Parent and Public Adoption Agency Staf Section II Pub.

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