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Infant Release Report AD22
Permission for Disposal of Severed Member Form CHA11
Authorization to Consent to Treatment of Minor
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abortion ADDENDA Chapter Appendix asso attending physician Authority for Autopsy blood California Hospital Association Certiﬁcate certify child Code Competency of Patient completed conﬁdentiality Consent by Telephone Consent to Photograph Consent to Treatment CONSERVATEE Copies and Disposition court CROSS REFERENCE custody Date decedent Disposition of Forms drugs employees facility ﬁrst Form CHA-1 found in Chapter funeral director inﬂicted injury intensive treatment Involuntary Patient involuntary treatment law enforcement agencies legal guardian liability lien mental disorder Mental Health Act Method of Recording notiﬁed Number of Copies Nursing obtained operation paragraph patient’s perma patient’s record peace officer permanent medical record procedure profes recipient Recording Signatures REFERENCE The subject Refuses to Sign registered nurse release of information Reportable Disease Retain and Dispose Section Signing Permit speciﬁc spouse subject headings listed subpoena surgical tient tion undersigned VVVV Witnesses to Signatures