DHCS 1811 (MH 5671): Authorization for Release of Patient Information

California Correctional Health Care Services

This government document is issued by California Correctional Health Care Services for use in California

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File Details: PDF (52.2 KB)
Downloads: 28
Source
http://www.dhcs.ca.gov/formsandpubs/forms/Forms/Mental_Health/DHCS_1811.pdf

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