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Get Tx Ltc-78a 2017

Ve you ever been treated and / or admitted to a facility for drug, alcohol and / or psychiatric care; OR been diagnosed as suffering from a psychiatric disorder or condition that causes or is likely to cause substantial impairment in judgment, mood, perception, impulse control or intellectual ability; OR pleaded innocent by reason of insanity; OR been found mentally incompetent; OR had court-ordered outpatient treatment? ï‚¡ Yes ï‚¡ No *If YES, please complete and attach LTC-78C. I understand.

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