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DocuSign Envelope ID: 758B1A24F93F47C390FF20E91DA450E2February 17, 2023 CHANCELLORS ACADEMIC COUNCIL CHAIR COCHRAN LABORATORY DIRECTOR WITHERED ANR VICE PRESIDENT HAMILTON Re: System wide Review of
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Download the UC Health Policy Responding to Immigration Enforcement form from the official UC website.
02
Fill out all the required fields in the form, including your personal information and any relevant medical history.
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Review the filled-out form to ensure accuracy and completeness.
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Sign and date the form as required.
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Submit the completed form to the appropriate UC Health office or department.

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Individuals who are seeking healthcare services at UC Health facilities and may be at risk of encountering immigration enforcement actions.
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uc-health-policy-responding-to-immigration-enforcement is a policy implemented by UC Health to address how to respond to immigration enforcement activities.
All employees and staff members of UC Health are required to be familiar with and follow the guidelines outlined in uc-health-policy-responding-to-immigration-enforcement.
To fill out uc-health-policy-responding-to-immigration-enforcement, employees and staff members should carefully read the policy document and comply with the procedures and reporting requirements.
The purpose of uc-health-policy-responding-to-immigration-enforcement is to provide guidelines and protocols for responding to immigration enforcement activities in a manner that prioritizes the safety and well-being of UC Health employees, patients, and visitors.
Information such as the presence of immigration enforcement officials on UC Health premises, requests for access to patient records, and any interactions with individuals regarding immigration status must be reported as per the policy.
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