CELEBRATING 10 YEARS OF SERVING CHICAGO
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| 2006 Annual Report |
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2575 W. Lyndale Ave. Chicago, IL 60647 Phone (773) 645-8900 Fax (773) 645-9564 |
CLIENT NOTICE OF USES AND DISCLOSURES
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FORMS
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RELEASE OF INFORMATION TO RSSI
HMIS FORMS
NOTICE OF USES AND DISCLOSURES
CLIENT CONSENT FOR DATA NETWORK SHARING
REVOCATION OF CONSENT FOR DATA SHARING NETWORK
NETWORK DATA SHARING AGENCIES LIST
CONSENT TO ENTER CLINICAL ASSESSMENT INFORMATION INTO HMIS
REVOCATION OF CONSENT FOR ENTERING CLINICAL INFORMATION
| 2007 EVENTS | ||||
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