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Form DHS-4819 Confidential Voluntary Medical Background Form for a Surrendered Newborn - Michigan
What Is Form DHS-4819?
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS-4819 Confidential Voluntary Medical Background Form?
A: The DHS-4819 Confidential Voluntary Medical Background Form is a document used in Michigan to collect medical information about surrendered newborns.
Q: Who uses the DHS-4819 Confidential Voluntary Medical Background Form?
A: The form is used by the Department of Health and Human Services in Michigan.
Q: What is the purpose of the form?
A: The purpose is to gather medical background information about the newborn to ensure proper care and treatment.
Q: Is the completion of this form mandatory?
A: No, the completion of the form is voluntary.
Q: Who should fill out the form?
A: The biological parent or legal guardian of the surrendered newborn should complete the form.
Form Details:
- Released on April 1, 2011;
- The latest edition provided by the Michigan Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHS-4819 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
Download Form DHS-4819 Confidential Voluntary Medical Background Form for a Surrendered Newborn - Michigan
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