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Get CA Harbor Regional Center F00009 2017-2024

Physical Abuse of Client: Do you have evidence or solid reason to believe that the client has been physically abused? Yes No Describe: Sexual Abuse of Client: Do you have evidence or solid reason to believe that the client has been sexually abused? Yes Describe: Medication Error: Was the client s medication given incorrectly, or not at all? Yes Describe: (refusing to take medication is not a special incident) F00009 / rev.04/17 No No.

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