Hawaii > Local County > 1st Circuit - Oahu > Family Court > Adoption
Medical Information Affidavit - Hawaii
| Medical Information Affidavit Form. This is a Hawaii form and can be used in Adoption Family Court 1st Circuit - Oahu Local County . |
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Please affix this form to a manila envelope containing medical information. Do not file these documents. Submit the unsealed envelope when filing your petition for adoption with Legal Documents or to the Family Court Adopiton Clerk if presented after the petition has been filed. IN THE FAMILY COURT OF THE _________CIRCUIT STATE OF HAWAII In the Matter of Adoption of A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: by [ ]the legal spouse of [ ]and ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) FC-A NO. [ ]the child(ren)'s legal parent ) [ ]husband and wife [ ]an unmarried person ) ) Petitioner(s). ) ) Included in this envelope are the following forms: [] Medicial Information Form for: [] [] [] Natural Mother Natural Father Medical Record Release of the above data for: [] [] Natural Mother Natural Father [] Mother's medical records of the child(ren)'s birth and mother's release of these records American LegalNet, Inc. www.FormsWorkflow.com
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