Difference between revisions of "Josh release form"

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(+Caring Hands)
(added Triangle Neuro, for all the good it might do...)
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''We realize this is kind of informal and may not satisfy legal requirements in all cases, but perhaps it will help move things along. Note that this page, unlike other pages in the wiki, is protected so that only we can edit it.''
''We realize this is kind of informal and may not satisfy legal requirements in all cases, but perhaps it will help move things along. Note that this page, unlike other pages in the wiki, is protected so that only we can edit it.''


The following entities and their employees (and volunteer operatives, where applicable) have our permission to discuss details of Josh Smith's case with each other, effective today – {{CURRENTMONTHNAME}} {{CURRENTDAY}}, {{CURRENTYEAR}} – and good for 60 days from this date:
The following entities and their employees (and volunteer operatives, where applicable) have our permission to discuss details of Josh A Smith's case with each other, effective today – {{CURRENTMONTHNAME}} {{CURRENTDAY}}, {{CURRENTYEAR}} – and good for 60 days from this date:


* Alternative Life Programs
* Alternative Life Programs
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* The Arc of Durham County
* The Arc of Durham County
* The Arc of North Carolina
* The Arc of North Carolina
* Triangle Neuropsychiatry
* [[htyp:Matchbox Health Services|Matchbox Health Services]]
* [[htyp:Matchbox Health Services|Matchbox Health Services]]
* [[htyp:Maxim Healthcare Services|Maxim Healthcare Services]]
* [[htyp:Maxim Healthcare Services|Maxim Healthcare Services]]


[[Image:SLH Josh release form signature.jpg|400px]]
[[Image:SLH Josh release form signature.jpg|400px]]

Revision as of 17:25, 5 May 2009

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Josh: release form

Release Form

We realize this is kind of informal and may not satisfy legal requirements in all cases, but perhaps it will help move things along. Note that this page, unlike other pages in the wiki, is protected so that only we can edit it.

The following entities and their employees (and volunteer operatives, where applicable) have our permission to discuss details of Josh A Smith's case with each other, effective today – April 26, 2024 – and good for 60 days from this date:

SLH Josh release form signature.jpg