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San Mateo County Mental Health Services (DO NOT PLACE IN CHART) INCIDENT REPORT Confidential Risk Management/Quality Assurance Document Protected by Evidence Code 1157 ET. Seq. Fax Report to QI at
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Do not place in is a form used to report individuals or entities that should not be listed in a particular location or database.
Any individual or entity who is in charge of managing the location or database where a list of prohibited individuals or entities needs to be maintained.
To fill out do not place in, one must provide the necessary information about the individuals or entities that should not be listed, including their names, identification numbers, and reasons for being prohibited.
The purpose of do not place in is to maintain the integrity and security of the location or database by ensuring that prohibited individuals or entities are not included in the list.
The information that must be reported on do not place in includes the names, identification numbers, and reasons for prohibiting the individuals or entities from being listed.
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