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Get Doh 5055 Fillable

When properly completed and signed the DOH-5055 consent form complies with the consent requirements of 42 CFR Part 2 and is appropriate for use by chemical dependence treatment providers. November 1 2012 Re New Health Program Consent Form DOH-5055 Dear Colleagues The Office of Alcoholism and Substance Abuse Services OASAS is issuing this letter to briefly communicate OASAS support for the use of Health Home Program Consent Form DOH-5055 and the a.

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