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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.

 

More information

Justice Health
GPO Box 123
Melbourne VIC 3001
Tel: 03 9947 1601
Fax: 03 9947 1626
Email: jh.legal@justice.vic.gov.au

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