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Prisoner consent to the release of medical information form
This form is used for a prisoner to authorise the release of their medical record.
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|Author:||Department of Justice|
|Publisher:||Department of Justice|
|Date of Publication:||2012|
|Copyright:||State of Victoria, 2012.|
GPO Box 123
Melbourne VIC 3001
Tel: 03 9947 1601
Fax: 03 9947 1626
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