- M-TAR 2011-10-06 – MH 417
Advance Health Care Directive Acknowledgement
- Advance Health Care Directive Acknowledgement Form – MH635
- Advance Health Care Directive Acknowledgment Form (Spanish) – MH635S
- Advance Health Care Directive Acknowledgment Form (Korean) – MH635K
- Advance Health Care Directive Acknowledgment Form (Kmer) – MH635KM
- Advance Health Care Directive Acknowledgment Form (Tagalog) – MH635T
- Advance Health Care Directive Acknowledgment Form (Russian) – MH635R
Authorization for Use or Disclosure of Protected Health Information
- Authorization for Use or Disclosure of Protected Health Information – MH 602
- Authorization for Use or Disclosure of PHI (Spanish) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Mandarin) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Cantonese) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Other Chinese) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Korean) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Vietnamese) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Tagalog) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Cambodian) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Arabic) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Armenian) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Farsi) – MH 602 (Effective 9/16)
- Authorization for Use or Disclosure of PHI (Russian) – MH 602 (Effective 9/16)