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Get CA GC-334 2005

CAPACITY DECLARATION HIPAA DEPT.: TIME: (Health Insurance Portability and Accountability Act of 1996) 1. Attached to this order is a Capacity Declaration Conservatorship (form GC-335) and a Dementia Attachment to Capacity Declaration Conservatorship (form GC-335A ) (the Declaration). 2. (Name): has applied for an order authorizing the declarant named in item 5 to complete, sign, and return the Declaration for the purpose specified in item 6 and good cause appearing, THE COURT FINDS 3.

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