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 Form 0066  the Texas Department of Aging and Disability Services  Dads State Tx 2005-2023

Form 0066 the Texas Department of Aging and Disability Services Dads State Tx 2005-2023

Use a form 0066 2005 template to make your document workflow more streamlined.

Representative of the resident as provided in the Texas Health and Safety Code 242. 845 or Chapter 40 Texas Administrative Code TAC 92. 129 d. Signature Resident/Guardian of Resident/Legal Representative of Resident circle appropriate title Date. I release from any civil liability for a violation of name of facility s privacy rights in connection with the use of the electronic monitoring device. Provide name of resident. Is the monitoring device a video surveillance camera Yes No always be...
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