Midstates Consent to Treat

Below you will find a link to the Mid States website for the Consent to Treat form. There is also the option to use the PDF below. This form must be completed and submitted at the time of registration.

You can use 1 of the three options above to complete the Mid States form. You will need to complete the form and upload it to Crossbar.

If you use the Google doc, you will need to make a copy of the doc first.

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