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LIVING WELL CHRISTIAN FAMILY CLINIC AUTHORIZATION FOR THE DISCLOSURE OF PROTECTED HEALTH INFORMATION (PLEASE COMPLETE IN FULL) ___ Birthdate Phone Number Name of Client Last, First, MI ___ Street
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Living Well Christian Family refers to a holistic approach within a Christian context that emphasizes the values of healthy living, strong family relationships, community support, and spiritual growth.
Typically, families who participate in organized programs or initiatives associated with Living Well Christian Family, or those who seek resources and support from such organizations, may be required to file.
To fill out the Living Well Christian Family documentation, individuals need to provide personal information, family details, and specific declarations concerning their participation in related programs and values.
The purpose of Living Well Christian Family is to promote well-being through spiritual, emotional, and physical health, fostering a nurturing environment for families aligned with Christian teachings.
Information that must be reported includes family member details, participation in church activities, adherence to Christian principles, and any wellness goals or outcomes.
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