How to use or fill out California Santa Clara County Client Consent Form
- Click ‘Get Form’ to open it in the editor.
- Begin by reviewing the introductory section, which outlines how your information will be used and shared. This is crucial for understanding your rights.
- In the authorization section, initial next to the types of protected personal information (PPI) and protected health information (PHI) you consent to share. Ensure you understand each type before initialing.
- Fill in the expiration date for your consent at the designated spot. This is important as it determines how long your consent remains valid.
- Sign and date the form at the bottom. If someone else is signing on your behalf, indicate their relationship to you.
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