TRS-65 Sample of Authorization for Access to Patient Information, Plan of Safe Care is available in multiple languages.
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Sample of Authorization for Access to Patient Information (TRS-65) Plan of Safe Care English
Sample consent from authorizing limited consent for sharing a Plan of Safe Care only.
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Sample of Authorization for Access to Patient Information (TRS-65) - Arabic
العَرَبِي (Arabic)Sample consent from authorizing limited consent for sharing a Plan of Safe Care only.
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Sample of Authorization for Access to Patient Information (TRS-65) - Polish
Polski (Polish)Sample consent from authorizing limited consent for sharing a Plan of Safe Care only.
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