{"id":123648,"date":"2023-08-02T17:26:48","date_gmt":"2023-08-03T00:26:48","guid":{"rendered":"https:\/\/jonestown.sdsu.edu\/?page_id=123648"},"modified":"2023-08-02T17:26:48","modified_gmt":"2023-08-03T00:26:48","slug":"ff-12-medical-record-release","status":"publish","type":"page","link":"https:\/\/jonestown.sdsu.edu\/?page_id=123648","title":{"rendered":"FF-12 \u2013 Medical record release"},"content":{"rendered":"<p>FF-12-A-1<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Danny K. Kutulas, being duly sworn, declare that I release all medical records and documents pertaining to me to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-2<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Dave B. Jackson, being duly sworn, declare:<\/p>\n<p>I, Dave B. Jackson, release all medical records and documents pertaining to me to Dr. Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-3<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Mary Louise Shavers, being duly sworn, declare:<\/p>\n<p>I, Mary Louise Shavers, request that all my medical records be released to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-4<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Jack D. Barron, being duly sworn, declare:<\/p>\n<p>I, Jack D. Barron, hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-5<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Earnestine T. March, being duly sworn, declare:<\/p>\n<p>I, Earnestine T. March, would like my medical reports and records released to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-7<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Liane Harris, being duly sworn, declare:<\/p>\n<p>I, Lianne Harris, hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n<p>&#8212;&#8211;<\/p>\n<p>FF-12-A-19<\/p>\n<p>Jonestown, Port Kaituma<br \/>\nNorthwest District<br \/>\nCooperative Republic of Guyana<\/p>\n<p>I, Jeffrey J. Carey, being duly sworn, declare:<\/p>\n<p>I hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.<\/p>\n<p>Subscribed to and sworn to me,<br \/>\na commissioner of oaths for the<br \/>\nRepublic of Guyana.<\/p>\n<p style=\"text-align: right;\">Dated August 5, 1977<br \/>\nWitnessed:<\/p>\n","protected":false},"excerpt":{"rendered":"<p>FF-12-A-1 Jonestown, Port Kaituma Northwest District Cooperative Republic of Guyana I, Danny K. Kutulas, being duly sworn, declare that I release all medical records and documents pertaining to me to Dr. Carlton Goodlett. Subscribed to and sworn to me, a commissioner of oaths for the Republic of Guyana. Dated August 5, 1977 Witnessed: &#8212;&#8211; FF-12-A-2 [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":109000,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-123648","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/123648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=123648"}],"version-history":[{"count":1,"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/123648\/revisions"}],"predecessor-version":[{"id":123649,"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/123648\/revisions\/123649"}],"up":[{"embeddable":true,"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=\/wp\/v2\/pages\/109000"}],"wp:attachment":[{"href":"https:\/\/jonestown.sdsu.edu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=123648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}