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24-HOUR MH HOTLINE

800-644-9737

FOR EMERGENCIES ONLY

24-HOUR MH HOTLINE: 800-644-9737
FOR EMERGENCIES ONLY

Downloads

Downloads

For your convenience, we offer these useful documents in PDF format.

  • NAMHR Research Policy Documents

  • For people with MH

    • AKA Report

      This form is to be filled out by the person to be registered in the NAMHR and their anesthesiologist/ healthcare provider.

    • Consent Form

      This is the consent form that each person mentioned by name in the Registry must complete. Please be sure to initial every page, and sign where needed.

    • Release of Information Form

      This form is to be filled out and signed by the registered person if they would like NAMHR staff to release a copy of their information to another person (such as their healthcare provider).

  • For anesthesiologists and other healthcare providers

    • AMRA Report

      This form is to be filled out by an anesthesiologist or other healthcare provider. It documents an adverse metabolic/muscular reaction to anesthesia.

    • MHN Report

      This form is to be filled out by an anesthesiologist or other healthcare provider. It documents any anesthetics received by someone who has had a negative MH biopsy.

      * For these reports, if your patient wishes to link their name with their information in this Report, please be sure that they complete a Consent Form (available above in the "For people with MH" section).

    • MHS Report

      This form is to be filled out by an anesthesiologist or other healthcare provider. It documents any anesthetics received by someone who has been previously diagnosed (or suspected) as MH susceptible.

      * For these reports, if your patient wishes to link their name with their information in this Report, please be sure that they complete a Consent Form (available above in the "For people with MH" section).

  • For staff at an MH diagnostic center

    • Biopsy Report

      This form is only to be used by the staff of an MH diagnostic center. It is used to document a subject's history and MH biopsy results.

      * For these reports, if your patient wishes to link their name with their information in this Report, please be sure that they complete a Consent Form (available above in the "For people with MH" section).

see also

The mission of MHAUS is to promote optimum care and
scientific understanding of MH and related disorders.