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Family Information Form
Fill out this Family Information Form to provide information to your loved one's mental health providers (therapist, psychiatrist, case manager), law enforcement, and/or hospital staff. Use clear, concise, short, fact-based details. This can be used even without an authorization to release confidential information from your loved one.
family_information_form.pdf | |
File Size: | 765 kb |
File Type: |
Release of Confidential Information
HIPPA requirements prevent staff from giving you any information without a Release Form signed by client. This Release of Information form will allow your loved one to authorize hospital staff and mental health providers to speak with you. They may have to sign another one when at the facility.
release_of_confidential_information.pdf | |
File Size: | 134 kb |
File Type: |