This form is a consent to the release of medical history. The patient authorizes the release of his/her medical history to the specified party within the consent release form. The form also provides that all prior authorizations are cancelled.
Consent Release Form With More Costly Wrapping
State:
Multi-State
Control #:
US-00460
Format:
Word;
Rich Text
Instant download
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How to fill out Consent To Release Of Medical History?
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