Transcription of MDH Standard Consent Form 012615
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MDH Standard Consent Form 012615
!5'534201 Instructions for Minnesota Standard Consent form to Release Health InformationImportant: Please read all instructions and information before completing and signing the incomplete form might not be accepted. Please follow the directions carefully. If you have any questions about the release of your health information or this form , please contact the organization you will list in section Standard form was developed by the Minnesota Department of Health as required by the Minnesota Health Records Act of 2007, Minnesota Statutes, section , subdivision 8.
!5'534201 Instructions for Minnesota Standard Consent Form to Release Health Information Important: Please read all instructions and information before completing and signing the form.
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