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Get State Of Alaska Department Of Health And Social Services Senior And Disabilities Services

Mber: Start Date: End Date: Instructions: The recipient/legal representative should write initials beside each item as it is discussed. I have the right to make choices regarding my care. I have the right to be treated with respect and dignity by my service providers. I have the right to confidentiality regarding information about me in state and provider records. I have the right to withdraw from the application for services process at any time. I have the right.

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