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Client Name: Date of Birth: This is to authorize HIV, medical, mental health, alcohol/drug abuse treatment, legal, criminal, or personal information regarding the above identified person to be released.

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Rule 5122-27-06 - ohio is needed by individuals and organizations who are required to comply with the regulations and guidelines outlined in the rule.

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What is rule 5122-27-06 - ohio?

Rule 5122-27-06 refers to the specific regulation outlined by the state of Ohio related to mental health and addiction services.

Who is required to file rule 5122-27-06 - ohio?

Providers and facilities offering mental health and addiction services in Ohio are required to file rule 5122-27-06.

How to fill out rule 5122-27-06 - ohio?

Rule 5122-27-06 must be filled out with accurate and up-to-date information regarding the services provided by the facility or provider.

What is the purpose of rule 5122-27-06 - ohio?

The purpose of rule 5122-27-06 is to ensure transparency and accountability in the delivery of mental health and addiction services in Ohio.

What information must be reported on rule 5122-27-06 - ohio?

Information such as the types of services provided, number of patients served, and any incidents or accidents that occurred must be reported on rule 5122-27-06.

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