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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
OKDHS
County Offices
Consolidated Records Disposition Schedule 82-37
January 26, 2006
Client Records
2-5 NTMC Claim Forms 
Description: Form ADM-12N, Claim for Non-Technical Medical Care in Own Home. Relates to services from providers. Copy of Record sent to State Office (Schedule 87-04, Series 7-3), where it is microfilmed.
Disposition: Retain in office one (1) year, then destroy. 
[Changed from Series 1-11 April 14, 1993]
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