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Get DHHS QM02 2006

Consumer’s service record. Confidentiality of consumer information is protected under Federal regulations, 42 CFR Part 2 and HIPAA, 45 CFR Parts 160 and 164. DMH/DD/SAS-Community Policy Management Section – Form QM02 Effective October, 2004 - Rev. 3/8/06 Page 1 of 6 North Carolina Department of Health & Human Services – Division of Mental Health/Developmental Disabilities/Substance Abuse Services DHHS Incident and Death Report CONFIDENTIAL Provider Agency Name CONFIDENTIAL Consumer.

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