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This document authorizes the release of information about criminal records in New Mexico.
This type of document is a form used by the DCYF (Department of Children, Youth, and Families) in Washington to provide notice and obtain consent for screening tests.
This document is for obtaining consent and disclosure for the background check of childcare providers in Michigan.
This Form is used for Autorizacion Para Divulgar Informacion (Authorization to Disclose Information) in Spanish.
This document is used for obtaining consent to disclose information in Iowa.
This document is a consent form for children and young people under 18 years old who are receiving treatment from a psychiatrist who does not prescribe psychiatric medications.
This document is a consent form for behavioral health treatment for children and adolescents under 18 years old in Washington, D.C. It is written in Spanish.
This document is for obtaining informed consent for the use of medication-assisted treatment for children and young people under the age of eighteen in Washington, D.C.
This document is used for obtaining consent from the biological father/mother in Washington, D.C.
Este formulario es utilizado para obtener el consentimiento necesario antes de administrar la vacuna contra el Covid-19 en el estado de Vermont.
This Form is used for giving consent or disclosure in a lawsuit in Wisconsin.
This form is used for obtaining consent for a hysterectomy procedure in the state of Oregon.
This document is used to authorize sterilization for individuals aged 15-20 in Oregon.
This document is for obtaining informed consent for medication in Wisconsin. It is written in Spanish.
Spanish-speaking applicants may use this form to give the Social Security Administration (SSA) permission to release the information from personal SSA files to a specific individual or group.
This Form is used for obtaining informed consent for mediation in the County of Kern, California.
This type of document is used to authorize the release of protected medical information to Ahcccs in Arizona.
This document is used for obtaining consent for the insertion of a hormonal implant in North Dakota.
This type of document is a Voluntad Anticipada (Advance Directive) for Medical Professionals and Family Members or Representatives in Texas. It outlines the specific wishes and instructions of an individual regarding their medical treatment and healthcare decisions in the event that they become unable to communicate or make decisions for themselves. This document ensures that the person's desires are followed and respected by healthcare providers and loved ones.
This Form is used for obtaining informed consent for hormonal contraception in New Mexico. It is available in Spanish.