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DHHS-DSS requires that a Report on Medical Examination form (8655) be completed on behalf of a Work First participant by a medical provider. The Report on
Report of Medical Examination Requested by County DSS
DSS-8655: Report of Medical Examination Requested by County DSS ; Form Number, DSS-8655 ; Agency/Division, Social Services (DSS) ; Form Effective Date, 2018-02-12.
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