• Amerigroup Breastfeeding Class Registration Form

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  • Photo Release Form

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  • Member Testimonial Consent and Authorization to Release Form

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  • If Minor Child Present: I hereby represent that I am the legal guardian of (name of child) , who is under the age of 18. I have read, understand, and agree to this Testimonial Consent and Authorization to Release, and I have the right to sign this Testimonial Consent and Authorization to Release on behalf of the named child.

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    • Pre Lactation Assessment  
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