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Report Date MMDDYYYY Texas Department of State Health Services Induced Abortion Report Form for Abortions Occurring on or After

Report Date MMDDYYYY Texas Department of State Health Services Induced Abortion Report Form for Abortions Occurring on or After

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Video instructions and help with filling out and completing Report Date MMDDYYYY Texas Department Of State Health Services Induced Abortion Report Form For Abortions Occurring On Or After January 1, Facility Name Facility Code Facility City Facility County TO BE COMPLETED BY PATIENT 1 Date

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Instructions and help about Report Date MMDDYYYY Texas Department Of State Health Services Induced Abortion Report Form For Abortions Occurring On Or After January 1, Facility Name Facility Code Facility City Facility County TO BE COMPLETED BY PATIENT 1 Date

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