Kwänlin

Weather icon-6°C

Däkwäkäda

Weather icon-3°C

Lu ghä

Weather icon-7°C

Consent for Release of Health Information

Consent for release of health information

For the following purpose:

  • So there can be a linkage to between CAFN
  • Community wellness Staff and doctors incase of an emergency situation arises

MM slash DD slash YYYY
Name
Signature
Clear Signature
Witness Signature
Clear Signature

Newsletter Subscription
Receive community announcements, news from Chief and Council, important dates, and more, delivered to your inbox.
Sign up for robocall
Interested in receiving important CAFN updates through text or voice alerts?
Sign up here