| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-03436 | Patient’s Representative Declaration (PDF) | 06/01/2026 | English | No |
| F-03436H | DHS Patient Representative Declaration, Hmong (PDF) | 06/01/2026 | Hmong | No |
| F-03436S | DHS Patient Representative Declaration, Spanish (PDF) | 06/01/2026 | Spanish | No |
Last revised June 26, 2026