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Client's Rights and Responsibilities
| [field-value] |
| Confirmed that client has read or been made aware of his/her rights and responsibilities. |
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Management and Protection of Personal Health Information Policy
| [field-value] |
| Confirmed that the client has read or been made aware of the department policy. |
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Authorization To Release Information
| [field-value] |
| Confirmed that the client has authorized the release of the household information. | |
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