Patient Forms

MCHD - Consent for Treatment of a Minor Form

Authorization to Release Medical Records from Miami County Health Department

If you experience any issues with these forms, please contact the Miami County Health Department at 913-294-2431 or via email at mchd@miamicountyks.org.

Our team is available to assist you Monday through Friday during normal business hours.

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  1. Fax: 913-294-9506

    1201 Lakemary Drive
    Paola, KS 66071

    Hours of Operation

    Monday through Friday

    8:00 AM - 4:30 PM

    Closed daily from 12:00 PM - 1:00 PM