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Get and Sign Statement of Expert Evaluation Cuyahoga County 2006-2022 Form

Get and Sign Statement of Expert Evaluation Cuyahoga County 2006-2022 Form

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Confined to a penal institution within this State. 1 - STATEMENT OF EXPERT EVALUATION -PDF - Page 1 06/2006 Case No. Is the individual presently under m edication 9 Yes 9 No If yes what is the m edication dosage and purpose Are there any signs of physical and/or m ental im pairm ents caused by the m edications them selves No If yes indicate the diagnosis below Profound M ental Illness Dem entia Other Severe M oderate M ild Type and Severity Description Please provide additional com m ents and...
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