I , understand that it is my right to name or not to name a Treatment Advocate. It is also my right to change or revoke the designation of a treatment advocate at any time and for any reason. My Treatment Advocate may participate in the treatment planning and discharge planning. It is my right to decide the level of involvement for my Treatment Advocate. Verbal confirmation of the written information proposed in the form shall be permitted until such time as the Treatment Advocate can be present to sign the designated form.
I , Appoint the following person to be my Treatment Advocate:
Treatment Advocate at all times will act in the best interest of the client and comply with all conditions of confidentiality.
I give PWTH consent to provide and/or receive Verbal Confirmation of written information to my Treatment Advocate.
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