{"id":14063,"date":"2023-09-08T18:16:53","date_gmt":"2023-09-08T22:16:53","guid":{"rendered":"https:\/\/www.lrmhc.org\/?page_id=14063"},"modified":"2024-02-09T11:08:13","modified_gmt":"2024-02-09T16:08:13","slug":"adult-intake-paperwork","status":"publish","type":"page","link":"https:\/\/www.lrmhc.org\/forourpatients\/adult-intake-paperwork\/","title":{"rendered":"Adult Intake Paperwork"},"content":{"rendered":"\t\t
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Click the buttons below to review and sign each electronic document.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t \n\t\n \n\tApplication & Consent for Services\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tMedical Screening\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tRelease of Information\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tAuthorized Representative\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tPatient Rights & Responsibilities\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tNotice of Privacy Practices\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t \n\t\n \n\tContact & Insurance Information\t<\/a> \n\t\n \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t<\/div>\n\t<\/div>\n <\/div>\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Click the buttons below to review and sign each electronic document. Application & Consent for Services Medical Screening Release of Information Authorized Representative Patient Rights & Responsibilities Notice of Privacy Practices Contact & Insurance Information<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":13820,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/page-full-title.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/pages\/14063"}],"collection":[{"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/comments?post=14063"}],"version-history":[{"count":7,"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/pages\/14063\/revisions"}],"predecessor-version":[{"id":15301,"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/pages\/14063\/revisions\/15301"}],"up":[{"embeddable":true,"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/pages\/13820"}],"wp:attachment":[{"href":"https:\/\/www.lrmhc.org\/wp-json\/wp\/v2\/media?parent=14063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}