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▼Public Health

Authorization to Release WIC Information
Consent and Authorization for Release of Health Information -- Minnesota Department of Health
Family Small Group Registration
We are now offering Family Small Group Meetings hosted by Maternal Child Health (MCH) Nurses the third Tuesday of each month. After you... More… We are now offering Family Small Group Meetings hosted by Maternal Child Health (MCH) Nurses the third Tuesday of each month. After you register, you will be sent a meeting invite. You only need to register once for the virtual Family Small Group Meetings. We look forward to seeing you.Less…
HIPPA Form 23005
Public Health Nursing - Home Visit Referral Form

Child & Teen Checkups Contact Form
Form for the public to enter their name and preferred method of contact by C&TC Nurse.
Consent to Release and Exchange Information
FHV Tennessen Warning
MCH Program Guidelines and Consent