HD-405
|
Patient Agreement for Hansen’s Disease (English)
|
PDF 142 kB |
10/2017 |
HD-405a
|
Patient Agreement for Hansen’s Disease (Spanish)
|
PDF 142 kB |
10/2017 |
CD-001
|
Disclosure and Consent Drug Therapy for Treatment of Hansen’s Disease (English)
|
PDF 125 kB |
12/2017 |
CD-001a
|
Disclosure and Consent Drug Therapy for Treatment of Hansen’s Disease (Spanish) |
PDF 135 kB |
12/2017 |
CD-010 |
Disclosure and Consent Skin Biopsy for Hansen’s Disease or Case Suspects (English and Spanish) |
PDF 191 kB |
12/2017 |
CD-011 |
Disclosure and Consent Skin Scraping for Hansen’s Disease and Case Suspects (English and Spanish) |
PDF 174 kB |
12/2017 |
L-30 |
Consent to Release Confidential Medical Information (English) |
PDF 182 kB |
7/2016 |
L-30a
|
Consent to Release Confidential Medical Information (Spanish) |
PDF 196 kB |
7/2016 |
L-36/L-36a |
General Consent and Disclosure (English/Spanish) |
PDF 26 kB |
4/2010 |