This government document is issued by Department of State Hospitals (DSH) for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:zqiqummuqzk&q=https://www.dsh.ca.gov/Coalinga/docs/Tele-Visiting_Pilot_for_the_Populaiton_Program_5_Units_13-16.pdf&sa=U&ved=2ahUKEwjxjt-JwpHyAhXwlYsKHW3QBr84HhAWMAB6BAgJEAI&usg=AOvVaw2lc-L5SWce1j5N-A3U9shY