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Patient Rights and Responsibilities
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Patient Rights and Responsibilities

Core Revitalizing Center is committed to providing quality health care.  It is our pledge to provide this care with respect and dignity.  In keeping with this pledge and commitment, we present the following Patient Rights and Responsibilities:

You have the right to:

You are responsible for:

I understand and agree with Core Revitalizing Center's Patient Rights and Responsibilities, as the client or the legal guardian of the client, and agree to abide by the above-stated policies and agreements with CRC.

Client:         

Legal Guardian:         

Signature:         

Date:         

Signed by:          client   guardian  personal representative