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The Addiction Treatment Resource Center (ATRC)
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Elica Sample Combined Intake and Consent Form

Last Update: March 18, 2022
Elica Sample Combined Intake and Consent Form

Section: Confidentiality Considerations for Primary Care

Topic: Privacy/42 CFR Part 2
Referrals
Regulations - State/Federal/County

Setting: Behavioral Health
FQHC
Primary Care

Type: Templates