.
The client's current mood
The reason the client is calling the agency today
What the client is wearing
What is motivating the client to seek services
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Phone number
Birth date
Gender
Social security number
All of the above
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A person who guarantees that the correct services are provided to the client.
A person, other than the client, who may be financially responsible for services provided to the client.
A person who guarantees the financial status of the client is correct.
A person who can access the financial records of the client.
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Obtain a signature from the client
Sign and date the form
Review the form with the client and ensure their understanding
Send the form to their supervisor for signature
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To advise clients that all agency staff will have access to their records.
To advise clients that all their records are confidential between them and their human services case manager.
To advise clients that none of their information will be released to anyone outside the agency.
To advise clients that a case manager is being clinically supervised and that other staff will have access to all their file information.
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