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How to use or fill out Consent Form - Southern Tier HealthLink
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and date of birth in the designated fields. This information is crucial for identifying your medical records.
- Provide your email address to ensure you are enrolled in the Southern Tier HealthLink Patient Portal, which allows you to manage your consent options online.
- Review the consent options carefully. You have three choices: 'I GIVE CONSENT', 'I DENY CONSENT', or 'I CHOOSE NOT TO CONSENT or CANNOT DECIDE AT THIS TIME'. Select the appropriate box that reflects your decision.
- If applicable, print and sign your name or that of your legal representative in the signature field. Ensure that all required signatures are completed before submission.
- Finally, review all entered information for accuracy before submitting the form through our platform.
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