Consent Form for Release of Information

If you have been directed here by a staff member of Missoula City-County Health Department's Covid-19 Response Team for a release of Covid- 19 Health Information via consent form, please download this form, fill in the necessary information, type in your name in the signature box, and e-mail the form to Covidconsents@missoulacounty.us

Please click HERE for the Consent Form.