Form 3617, Request for Transfer of Waiver Program Services

Disability Prevention for Children, Office of (ODPC)

This government document is issued by Disability Prevention for Children, Office of (ODPC) for use in Texas

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File Details: PDF (124 KB)
Source
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3617-request-transfer-waiver-program-services

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