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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Hennepin County Public Health is committed to advancing health and racial equity. Mission: Advance health and racial equity through science, and prevention-focused, inclusive, public health policies, practices, and services.
How to submit forms and documents and update your information Update information and upload documents to InfoKeep. Upload to MNbenefits. Fax to 612-288-2981. Mail to: Hennepin County Human Services Department. P.O. Box 107. Minneapolis, MN 55440.
Hennepin County Medical Center is: An essential teaching hospital for doctors who go on to practice throughout the state.
Cope responds to anyone in Hennepin County who needs an urgent response—individuals, families or communities. Cope has bi-lingual and bi-cultural staff available for face-to-face, phone, and video visits and uses interpreters when needed. If the situation is life-threatening or you need immediate response, call 911.
Human Services and Public Health data and reports | Hennepin County.
Download the Authorization to Release Health Information form and return it to the HIM Department at Hennepin Healthcare. Forms may be received via fax, by mail, or in person. You may request your records on paper or in an electronic format. Fax your release form at 612-873-1516.