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Certification of Qualifies Health Professional Involuntary Treatment Courts Ky 2017

Certification of Qualifies Health Professional Involuntary Treatment Courts Ky 2017

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Respondent A. Comes the Affiant and states that he/she is a Qualified q A Qualified Mental Health Professional as defined in KRS 202A. E. A licensed clinical social worker licensed under the provisions of KRS 335. 100 or a certified social worker licensed under the provisions of KRS 335. Date examination was performed 2 Further Affiant sayeth naught. Date Signature of QHP Name of QHP Please Print Title of QHP Please Print Name of Treatment Facility of QHP Please Print Subscribed and sworn to...

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