This is a confidentiality agreement from Cherokee County that the participant must sign in regards to medical records.
This consent form delineates the conditions and scope of releasing confidential information of the participant to the treatment parties involved in his/her recovery.
This consent form is used to disclose personal information from the program to the court for Caroline County Adult Drug Court program.
This is an example form used by the Madison County Problem Solving Courts to obtain consent for release of participants’ confidential information.
This confidentiality form is used to request consent to disclose substance abuse information to the court for the Northeast Nebraska Drug Court program.