Lynne A. Valenti
Cabinet Secretary

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Below you will find the selected forms and/or publications for this order. You will need to indicate the quantity you want to receive in the box next to the document number. After you have entered the quantity, click "Update" in the previous box. If you wish to remove a form or publication, simply click on the link that states "Delete." Once you have entered the quantity for each form or publication, click the "Proceed" button at the bottom.

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditBH-11aAdult SUD Initial Outcome ToolDelete
1EditBH-11bAdult SUD Update Outcome ToolDelete
1EditCPS-533Adoption Registry FormDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditBRO/EA14Medical Assistance for Children and FamiliesDelete
1EditBRO/EA1Energy Saving TipsDelete