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Oklahoma Department of Human Services
Oklahoma Department of Human Services
Stronger Families Grow Brighter Futures
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
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OKDHS Home > Library > Records Disposition Schedules > County Offices 82-37 > 1-19 HMA Provider Agreement/Contract (Form HMA-4)
Library: Records Disposition Schedules
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Consolidated Records Disposition Schedule 82-37
January 26, 2006
Administrative Records
1-19 HMA Provider Agreement/Contract (Form HMA-4)  
Description: Working copy of form used to state terms of agreement between the HMA and the Department. Contracts Division/Facilities Unit is the agency office of Record (Schedule 87-05, Series 31-1).
Disposition: Retain in office one (1) year, then destroy.
[Changed from Series 1-57 April 14, 1993]
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Last Updated:  10/2/2007
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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