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i did not have mine signed.. it was on official letter head form the hospital though . if they printed it out and gave it to you then you are fine - mine was accepted and approved.
if you use that form then yes, it needs to be signed. i think it was easier to just have them print it out (i literally handed them my id and they handed it back with my records) then to take the time out of the doctors day for them to fill out the form
This is good to know because I'll have to go track down mine too.