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The LCHD has a legal and ethical responsibility to maintain client privacy, including obligations to protect the confidentiality of client information and to safeguard the privacy of client information including, but not limited to, client medical records and other individually identifiable health information.
By checking the "I agree" box below, you agree and acknowledge that 1) your document will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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