TRS-AN Release of Information- Patient Abuse/Neglect is available in multiple languages.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - English
Consent to disclose information in relation to incidents of abuse and/or neglect.
This form is available in multiple languages.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Arabic
العَرَبِي (Arabic)Consent to disclose SUD patient information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Bengali
Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Chinese
中文翻譯 (Chinese)Consent to disclose SUD patient information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - French
Consent to disclose SUD patient information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Haitian-Creole
Tradiksyon kreyòl ayisyen (Haitian Creole)Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Italian
Traduzione italiana (Italian)Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Korean
한국어 번역 (Korean)Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Polish
Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Russian
Перевод на русский язык (Russian)Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Spanish
Traducción al español (Spanish)Consent to disclose information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Urdu
اردو (Urdu)Consent to disclose SUD patient information in relation to incidents of abuse and/or neglect.
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Release of Information- Patient Abuse/Neglect (TRS-AN) - Yiddish
אידיש (Yiddish)Consent to disclose SUD patient information in relation to incidents of abuse and/or neglect.
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