Tucson Arizona Lanzamiento medico - Medical Release
Category:
State:
Multi-State
City:
Tucson
Control #:
US-00562
Format:
Word
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Description
This Medical Release authorizes the physicians, hospital and all medical attendants to furnish full and complete medical reports and information requested by the person signing to whomever such person designates in the agreement. This authorization also includes examination of all hospital records, x-ray film and furnishing of any information including opinions. This agreement is applicable to all states.
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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No information is available for this page. Help fill out forms programs and help in Tucson, az.Search 55 social services programs to assist you. Prepared forms must be printed and filed with the Clerk of the Superior Court, 110 W. Congress, Tucson, Arizona 85701. Tucson Mountain - 6261 N. Sandario Rd. (520) 351-3811. Vail - 9930 E. Brekke Rd (520) 351-4806. Fill out the state's application and mail it in at the address provided on the form, along with payment and items in the Customer Mail In Checklist on the form. This will provide the information on what you need to complete the application for involuntary mental health treatment. They must be notarized. For your convenience, you may fill out the Public Records Request form and bring it with you to the Police Department.