Consent Form for Release of Information

If you have been instructed by a staff member from the Missoula City-County Health Department to complete a 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. 

Missoula City-County Health Department

301 W. Alder

Missoula, MT  59802

(406) 258-INFO - COVID-19 Information Line

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