Steering Team / Date Unit / Utah State Developmental Center / USDC Human Rights Committee / Human Rights Committee / Center’s Human Rights Committee / /
Person
Present / Karen A. Clarke / /
Position
Director The Unit / Physician / Psychologist / Chairperson / psychologist/psychological assistant / registered nurse / medial director / team member / Director Date Parent/Guardian Signature / director / parent/guardian / psychologist/psychological assistant / Social Worker / registered nurse / social worker / Behavioral Specialist / Date Nurse / USDC Medical Director / Superintendent POLICY / social worker / psychologist / and physician / Superintendent for final approval or disapproval / Superintendent / Director Unit / Director / Date / DSPD Director / Medical Director / Harm Procedure Parent/Guardian recommendation/approval Physician / /
UTAH STATE DEVELOPMENTAL CENTER DIRECTIVE: 30.12 PAGE 1 OF 3 PROTECTION FROM HARM EFFECTIVE DATE: [removed]