Keywords:
consent, Public form, release of info, medical record release
Description:
Med. Record. - Downtown Campus. Spanish version is F81280, Somali version is F83948. Website printing only. Last revised: 06/21/2018. Last review: 5/2022. Contact: Cindy Nappa/Robin Claflin.
Note - Added "radiology reports" and "other" per Heidi Noce.