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Dan K’e (Our Ways)
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CONSENT TO RELEASE INFORMATION
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I am a citizen of Champagne & Aishihik First Nations (CAFN) and do hereby authorize the following CAFN Community Wellness Department staff:
Director of Community Wellness
Wellness Manager
Case Manager in Haines Junction
Case Manager in Whitehorse
Child & Family Support Worker
Community Care Coordinator
Child and Family Liaison Worker
Community Support Worker
Justice Worker
Other
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To have an exchange of information with the following agency/agencies and or organizations:
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Witness Name
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