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New York State Medicaid Enrollment Form
If you have any questions, contact the. eMedNY Call Center at (800) 343-9000. Consider printing the Instructions to Complete Enrollment Form before continuing.
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opwdd fss family reimbursement application | cwi
DIAGNOSIS PLEASE CHECK ALL THAT APPLY PER OPWDD. Intellectual Disability. Traumatic Brain Injury TBI. Other. Autism. Cerebral Palsy. Epilepsy (seizures).
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READY TO GO FORM INDIVIDUALS INFORMATION Last
MEDICAL HISTORY. Diagnosis. Past Procedures/Surgery. BASELINE. Vital Signs. T. P. R. BP. HT. WT. WT Date. Neurological/Mental Status (describe typical).
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