Opioid Dependence Treatment Agreement and Patient Consent Form - Effective 7/3/17

Medicaid Agency

This government document is issued by Medicaid Agency for use in Alabama

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File Details: PDF (361 KB)
Downloads: 17
Source
https://medicaid.alabama.gov/documents/9.0_Resources/9.4_Forms_Library/9.4.3_Consent_Forms/9.4.3_Form_391_Opioid_Dependence_Patient_Consent_7-3-17.pdf

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