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Get CA GC-333 2005

UTHORIZING COMPLETION OF CAPACITY DECLARATION HIPAA * DEPT.: TIME: (Health Insurance Portability and Accountability Act of 1996) 1. Applicant (name): has filed a petition for the appointment of a conservator for the above-named proposed conservatee. The petition is set for hearing on (date): at (time): in Dept.: Rm.: 2. The petition requests (check all that apply): a. b. c. d. e. A finding that the proposed conservatee should be excused from attending the hearing on the petition. Exclusiv.

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