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Invisible Condition Request Form Utah

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Invisible Condition Request Form Utah

A person is requesting to add invisible condition identification symbols on their record and share their medical information with law enforcement, as required by UCA§53-3-207. They voluntarily release their medical information and waive any privacy claims. The individual has various listed conditions including communication impediment, hearing loss, traumatic brain injury, post-traumatic stress disorder, drug allergy, schizophrenia, blindness or visual impairment, epilepsy, developmental disability, autism spectrum disorder, diabetes, Down syndrome, Alzheimer's disease or dementia, heart condition, and other. A healthcare professional has signed off on the form confirming these conditions.

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