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Get CA DHCS 1802 2019-2024

Ential Patient Information Patient s Name: Admission Date: Section 5150(i) of the Welfare and Institutions Code requires that each person admitted to a facility designated by the county for evaluation and treatment be given specific information orally and in writing, and in a language or modality accessible to the person and a record of the advisement be kept in the person s medical record. My name is My position here is You are being placed into this psychiatric facility because it is.

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