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Page 1:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 2:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 3:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 4:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 5:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 6:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 7:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 8:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 9:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 10:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 11:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 12:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 13:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 14:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 15:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 16:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 17:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 18:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 19:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 20:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 21:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 22:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 23:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 24:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 25:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 26:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 27:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 28:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 29:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 30:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 31:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 32:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 33:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 34:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 35:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 36:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 37:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 38:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 39:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint
Page 40:  · Patient's emotion and psychological presentation Patients underlying conditions and treatment Impact of the environment Patient's mental capacity Risks associated with restraint

DOCTOR'S LIEN -----------=~--~~~------------ (Patient's Name)

DOCTOR'S LIEN -----------=~--~~~------------ (Patient's Name)

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