Report of Actual or Suspected Child Abuse or Neglect - DHS ...
REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Health and Human Services Was Complaint Phoned to MDHHS? Yes No ( If yes, Intake ID # ( If no, contact Centralized Intake (855-444-3911) immediately INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). Send to Centralized Intake at the address listed on ... ................
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