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MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES …

The participant must initial next to each section indicating they have read and understood the information. SERVICES AND PROVIDERS : Initial Here 1) I wish to receive HCBS through the: agency option consumer-directed option adult day care ... I have reviewed my rights and responsibilities and understand what I must do as a participant of HCBS ...

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  Missouri, Rights, Responsibilities, Participant

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