Forms and Appendices

Report of Hospital Death Associated With Restraint or Seclusion

Request for Presence of Observer During Childbirth/Medical Procedure

Consent to Photograph and Authorization for Use and Disclosure

Consent to Photograph

Permit for Using Electrical Appliances

Release of Side Rails

Refusal to Consent to Communicable Disease Testing/Refusal to Receive Results of Communicable Disease Testing

Consent to the HIV Test

Report to Attorney

Incident Report

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