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CANS Consent Documents

MassHealth Children's Behavioral Health Initiative (CBHI), Child and Adolescent Needs and Strengths (CANS)

Consent forms are used to obtain permission to share and get information for the CANS tool. Note: A prefilled cover sheet is required for faxing the Consent Information Sheet. The Consent Information Sheet must be printed directly from the CBHI CANS on the Virtual Gateway. For instructions, see page 5 of the Reference Guide: CBHI Data Entry Operator.

Table of Contents

CBHI CANS Consent Forms and Information Guide

English Consent Form

Arabic (Egyptian) Consent Form

Brazilian Portuguese Consent Form

Chinese Consent Form

Haitian Creole Consent Form

Khmer Consent Form

Laotian Consent Form

Russian Consent Form

Spanish Consent Form

Vietnamese Consent Form

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