Richland Newhope - Richland County Board of Developmental ...
4048125-54292500______________________________________Printed NameI hereby attest that I have watched the Richland County Board of DD Annual MUI/Rights Training videos Part 1 and Part 2 for 2020 presented by Diana Haumesser, LSW and Shannon Mahoney, LSW in entirety and I understand the material presented. By signing this form and attesting I have completed the training, I will receive a certificate of completion that is authorized by the Richland County Board of DD. I declare that the above statement is true and accurate to the best of my knowledge.?_________________________________________________________SignatureDate____________________________________________Mary L. Dalbey Coordinator of Provider Recruitment and DevelopmentRichland County Board of DD ................
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