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Get DHS 8028 Instructions 2003-2024

ST Division determination to the request. Specifics: 1. Document the name of the requestor. 2. If legal representative, describe legal authority. (i.e. lawyer, court order, legal guardian, or legal parent etc.) Attach a copy of legal authority to DHS 8028. 3. The health information to be restricted must be stated. 4. Document health information to be restricted. 5. Document mailing address. MQD staff: 1. Verify identity of requestor. 2. Route original copy of DHS 8028 to MQD Admini.

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