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WHITES IDE COUNTY HEALTH DEPARTMENT BEHAVIORAL HEALTH INFORMED CONSENT I ___ (Name of client/parent or guardian) hereby acknowledge that the following White side County Health Department behavioral
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Submit the completed forms and any necessary payments to the Whiteside County Health Department according to their instructions.

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The Whiteside County Health Department is a government agency responsible for promoting and protecting the health of residents in Whiteside County, Illinois.
All residents of Whiteside County are required to follow guidelines and information provided by the Whiteside County Health Department.
To fill out information for the Whiteside County Health Department, residents can visit their website or contact them directly for instructions.
The purpose of the Whiteside County Health Department is to ensure public health and safety through education, promotion of healthy behaviors, and disease prevention.
Residents may need to report personal health information, vaccination records, and other relevant data as requested by the Whiteside County Health Department.
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