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.
Authorization Medical Records Release Form
State:
Michigan
Control #:
MI-MC-315
Format:
PDF
Instant download
This website is not affiliated with any governmental entity
Public form
Description Custodian Certificate Letter
How to fill out Authorization Medical Records Release Form?
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