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://dsh.ca.gov/Jobs/docs/MDO_Independent_Evaluator_Guideline.pdf&sa=U&ved=2ahUKEwjsk77xzZHyAhXk_CoKHa5iB3Y4UBAWMAB6BAgAEAE&usg=AOvVaw3xP4FBbY7MUvwycU1TsA3_