Modesto California Autorización para la divulgación de información médica - California Authorization for Disclosure of Medical Information

State:
California
City:
Modesto
Control #:
CA-JM-0020
Format:
Word
Instant download

Description

This form is used to authorize the company to obtain results of an employee's drug or alcohol tests or other medical tests.

Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
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Modesto California Autorización para la divulgación de información médica