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Changes Rock Springs Consent to Release MH & SUD RecordsLABEL AREAIPMS2P067Patient Information Patient Name:Date of Birth: / / Dates of Treatment:Address/City/State/Zip:Phone: ()From:To:Program(s)

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What is changes rock springs?

Changes Rock Springs is a form for reporting changes in a specific area or entity.

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Any individual or organization that has experienced changes in the specified area or entity.

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The purpose of Changes Rock Springs is to accurately document and report any changes in a specific area or entity.

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Information such as the nature of the change, date of change, and any supporting documentation may need to be reported on Changes Rock Springs.

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