I hereby give my consent for the release of blood and/or tissue samples from the decedent named above, as I am the next-of-kin to the decedent.

These samples, currently being held at the Hennepin County Medical Examiner's Office, are to be released to a representative of a lab for the sole purpose of DNA banking or genetic studies.

This consent also permits the release of a final autopsy report to the Genetic Counselor.

This consent releases the sample and also gives permission to genetic testing results to be shared with HCME office.


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