State Form 9966 Indiana Adoption Medical History Report - Indiana

State Form 9966 Indiana Adoption Medical History Report - Indiana

What Is State Form 9966?

This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 9966?
A: Form 9966 is the Indiana Adoption Medical History Report.

Q: What is the purpose of Form 9966?
A: The purpose of Form 9966 is to provide medical history information for adoptive families in Indiana.

Q: Who needs to complete Form 9966?
A: The birth parents or legal guardian of the child need to complete Form 9966.

Q: What information is included in Form 9966?
A: Form 9966 includes information about the birth parents' and the child's medical history.

Q: Is it mandatory to complete Form 9966?
A: Yes, it is mandatory to complete Form 9966 for the adoption process in Indiana.

Q: Can I request additional copies of Form 9966?
A: Yes, you can request additional copies of Form 9966 from the Indiana Department of Child Services.

Q: Can I update the information on Form 9966 after submitting it?
A: Yes, you can update the information on Form 9966 by submitting a revised report to the Indiana Department of Child Services.

Q: Who can access the information on Form 9966?
A: The information on Form 9966 is confidential and can only be accessed by authorized individuals involved in the adoption process.

Q: Is there a deadline for submitting Form 9966?
A: There is no specific deadline for submitting Form 9966, but it is recommended to complete and submit it as soon as possible during the adoption process.

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Form Details:

  • Released on October 1, 2005;
  • The latest edition provided by the Indiana State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of State Form 9966 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.

Download State Form 9966 Indiana Adoption Medical History Report - Indiana

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