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DIRECT CARE STAFF UPLOADS

Consumer: Verification

Verification of Educated on Rights, Choices, and HIPAA

I
have been educated by Trinity Omniscient Care Inc on HIPAA. I understand my right to privacy and my consent must be given to release information regarding
I
have been educated by Trinity Omniscient Care Inc on my rights, choices, and preferences as a recipient of the Florida Med Waiver Program through APD.

Director's Signature



Date:

Trinity Omniscient Care, Service provider for the disabled on the treasure coast of florida

Serving developmentally and physically disabled persons throughout the Treasure Coast

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