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Document Library
Title
Size (Kb)
Admission and Discharge Form
8.67
Download
Case Managment Referral Form
9.48
Download
Consent Sheriff Department
42.99
Download
Faith Based Disclosure Form
9.21
Download
General Consent
42.88
Download
General Consent DPW
42.78
Download
General Consent HCMU
43.11
Download
General Consent Sheriff Department
43.08
Download
Grievance and Appeal Policy
24.93
Download
HIPPA Form Page 1
23.57
Download
HIPPA Form Page 2
20.30
Download
Level of Case Management Determination
15.45
Download
Maximum Client Benefits Form
15.13
Download
PCPC Adolescent Summary Sheet
15.70
Download
PCPC Adult Summary Sheet
15.82
Download
Request for Authorization
33.60
Download
Request For Liability Reduction Form
33.30
Download
Client Liability Form
31.48
Download
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York County Government Center
100 W Market St Suite 401
York, PA 17401
Phone: (717) 771-9347
Fax: (717) 771-4663
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