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As a legal document, in most states and clinical settings, the PAD must be witnessed and notarized in order for the document to be executed. Private treatment of patients in Department of Mental Health and Addiction Services facilities.Payment for treatment. Sec. 17a-468. (b) Complete the review within ten (10) days of receipt of the appeal request. DMAP 3978 Pharmacy Prior Authorization Request. (b) Complete the review within ten (10) days of receipt of the appeal request. DMAP 3978 Pharmacy Prior Authorization Request. Medical treatment; physician authorization; pecuniary liability. , Aart Hendriks, Disabled Persons and Their Right to Equal Treatment: Allowing. Absences without Authorization. 3-23. 7.