Release Authorization, blank form for releasing a patient to an authorized individual

Archive

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St. Joseph Museums

Name/Title

Release Authorization, blank form for releasing a patient to an authorized individual

Entry/Object ID

2012.2.259

Scope and Content

Release Authorization, blank form for releasing a patient to an authorized individual. Listed uses: court hearings, delivery of patient to another hospital, nursing home visit, employment seeking, and volunteer service detail.

Collection

Psychiatric Hospital Collection

Lexicon

Search Terms

release, Operational, Patient Documentation

Legacy Lexicon

Object Name

Page, Typewritten

Condition

Overall Condition

Excellent

Maintenance

Maintenance History

Date

Dec 17, 2012