Authorization Medical Records Release Form

State:
Michigan
Control #:
MI-MC-315
Format:
PDF
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Description Custodian Certificate Letter

This Authorization for Release of Medical Information is an official document from the Michigan State Court Administration Office, and it complies with all applicable state and Federal codes and statutes. USLF updates all state and Federal forms as is required by state and Federal statutes and law.

How to fill out Authorization Medical Records Release Form?

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Letter For Custodian Certificate