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Form Name/ Description
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Form
Number
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Revised
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Click Icon to
View
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Advance Health Care Directives
An Advance Health Care Directive lets you name someone to make treatment decisions for you. That person can make most medical decisions-not just those about life-sustaining treatment-when you can't speak for yourself. |
Information
Sheet |
6/2008 |
 In English
En Español
Tiếng Việt
Farsi
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CME Accreditation Program Handbook for HCA's Continuing Education Program Planners (CEPP)
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Pending |
9/2008 |
Employee Intranet |
Grievance or Appeal form
Use this form if you:
1) Wish to express dissatisfaction with any aspect of your treatment with Behavioral Health Services. This is called a
grievance.
2) Or, if you wish to appeal a decision denying, reducing, or limiting your pre-authorized services. This is called an appeal. |
F346-706
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6/2008
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In English
En Español
Tiếng Việt
Farsi
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| Mental Health Plan (MHP) Intake/Advisement Checklist |
F346-753
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5/2010
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 English
Farsi
Spanish
 Vietnamese
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