Application to withhold clinical record

Name Application to withhold clinical record
Category Health and wellness
Last updated
Size  8.46 KB
File Type  pdf
Number of pages 1
Document description
The chief executive officer of the hospital fills out this application form. It requests a patient's clinical record be withheld. A clinical record can be withheld if it's damaging to the patient or another named person. The chief executive officer gives a copy to the Capability and Consent Board.
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