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| The Office of the State Registrar can conduct a search for medical information for the adoptee: [http://www.in.gov/icpr/webfile/formsdiv/09966.pdf State form SF47261]. | | The Office of the State Registrar can conduct a search for medical information for the adoptee: [http://www.in.gov/icpr/webfile/formsdiv/09966.pdf State form SF47261]. |
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| Mail a copy of signature identification and this completed form to the address below: | | Mail a copy of signature identification and this completed form to the address below: |
| <br>Indiana State Department of Health <br>Indiana Adoption Medical History Registry | | <br>Indiana State Department of Health <br>Indiana Adoption Medical History Registry P.O. BOX 7125 <br>INDIANAPOLIS, IN 46206-7125<br>Allow 4 to 6 weeks for processing of your request. |
| P.O. BOX 7125 <br>INDIANAPOLIS, IN 46206-7125<br>Allow 4 to 6 weeks for processing of your request. | |
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| == Additional Helps == | | == Additional Helps == |