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What SCREEN form should I use prior to the release of DOH-695 (2/2009)?

April 26, 2017doh-695 form prior release screen

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What SCREEN form should I use prior to the release of DOH-695 (2/2009)?

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A8. Prior to the release of SCREEN Form: DOH-695 (2/2009), you should be using SCREEN Form: DOH-695 (4/04).