Exit this survey

1. Attestation Statement

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* 1. I have been provided the opportunity to review the following Community Hospital policies regarding:

o Abuse Child, Domestic, Elder, Vulnerable Patient
o Restraint
o Emergency Operations Plan
o Infection Prevention Program
o Organ, Tissue & Bone Donation & Recovery
o Patient Rights & Responsibilities

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* 2. I have read and understand the above policies as part of the accreditation and education process at Community Hospital.

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* 3. Please type in name.

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* 4. Date

Date

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