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MAN SURNAME OTHER NAMES D.O.B. / / NOTICE TO DESIGNATED CARER OR PRINCIPAL CARE PROVIDER OF CHANGES TO OR DECISION TO REVOKE COMMUNITY TREATMENT ORDER FEMALE M.O. ADDRESS LOCATION COMPLETE ALL DETAILS
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What is or principal care provider?
Or principal care provider is the individual or entity responsible for overseeing the primary medical care of an individual.
Who is required to file or principal care provider?
The individual or entity responsible for overseeing the primary medical care of an individual is required to file or principal care provider.
How to fill out or principal care provider?
To fill out the principal care provider, you must provide the necessary information about the individual or entity responsible for overseeing the primary medical care of an individual.
What is the purpose of or principal care provider?
The purpose of the principal care provider is to ensure that an individual's primary medical care is overseen by a designated individual or entity.
What information must be reported on or principal care provider?
The information reported on the principal care provider should include the name, contact information, and relationship to the individual in need of medical care.
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