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First Steps Forms Available in Other Languages

**Burmese is not available in Word due to formatting issues

Release of Information (ROI)

Arabic      (pdf)(word)

Bosnian

(pdf) (word)

Burmese

(pdf)

 

Japanese  (pdf) (word) Russian (pdf) (word) Somali (pdf) (word) Spanish (pdf) (word)

Vietnamese      (pdf)

(word)

Notice of Action/Consent (NOA/C)

Arabic

(pdf) (word)

Bosnian (pdf) (word)

 

Burmese (pdf)

 

Japanese  (pdf) (word) Russian (pdf) (word) Somali   (pdf) (word) Spanish (pdf) (word) Vietnamese    (pdf)       (word)
Notice of Action (NOA)
Arabic (pdf) (word) Bosnian (pdf) (word)

Burmese (pdf)

 

Japanese (pdf) (word) Russian (pdf) (word) Somali (pdf) (word) Spanish (pdf) (word) Vietnamese     (pdf) (word)
Parental Rights
Arabic (pdf) Bosnian (pdf)

Burmese (pdf)

 

Japanese (pdf) Russian (pdf) Somali (pdf) Spanish (pdf)

Vietnamese

(pdf)

Consent to Access Medicaid
Arabic (pdf) (word) Bosnian (pdf) (word)

Burmese (pdf)

 

Japanese (pdf) (word) Russian (pdf) (word)

Somali (pdf) (word)

Spanish (pdf) (word) Vietnamese (pdf) (word)
Consent to Access Private Insurance
Arabic (pdf) (word) Bosnian (pdf) (word)

Burmese (pdf)

 

Japanese (pdf) (word) Russian (pdf) (word)

Somali (pdf) (word)

 

Spanish (pdf) (word) Vietnamese (pdf) (word)