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Twice blessed house 2025

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The document is a Resident Screening Agreement for Twice Blessed House, outlining the conditions under which Baylor–All Saints Medical Center and/or Baylor University Medical Center may conduct a criminal background check on individuals seeking housing. It specifies the criteria for eligibility, including disqualifications based on felony convictions, violent crimes, and listings on various watch lists. The agreement requires personal information from the applicant and must be submitted via fax or mail.

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Click ‘Get Form’ to open the Twice Blessed House Resident Screening Agreement in the editor.
Begin by entering your printed name in the designated field. Ensure that it matches your identification documents.
Fill in any maiden or other last names you have used previously, if applicable.
Provide your home street address, ensuring it is a physical address and not a P.O. Box.
Enter your date of birth in the specified format to verify your identity.
Input your Social Security Number (SSN) carefully, as this is crucial for background checks.
Fill in your Driver’s License number along with the state it was issued from.
Add your contact phone number for any follow-up communications regarding your application.
Select whether you are a Patient or Caregiver by checking the appropriate box.
Indicate which patient you are associated with by providing their name in the designated area.
Finally, sign and date the form at the bottom to confirm that all information provided is accurate and complete.

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2011	4.2 Satisfied (33 Votes)

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