Topic: Disclosure

Clatsop County Treatment Court Program Petition, Waiver and Order

This document includes the petition with the conditions one must comply with, waiver of some rights needed before starting, and an order to enter the Clatsop County Treatment Court program.

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Consent to Release Information Concerning Chemical Dependence Treatment

This is a consent form from the Buffalo Veterans Treatment Court to release participant information about chemical dependence treatment.

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OASAS Consent Form to Release of Information Concerning Chemical Dependence Treatment

This consent form delineates the conditions and scope of releasing confidential information of the participant to the treatment parties involved in his/her recovery. 

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Madison County Problem Solving Courts Confidentiality Contracts

This is an example form used by the Madison County Problem Solving Courts to obtain consent for release of participants’ confidential information.

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Cherokee County Drug Court Consent Form

This is the Cherokee County Drug Court Consent for Release of Confidential Information in Criminal Proceedings.

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Kosciusko County Adult Drug Court Program Confidentiality and Re-Disclosure Form

This is the confidentiality and re-disclosure form for the Kosciusko County Adult Drug Court Program.

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Consent for Disclosure of Confidential Substance Abuse Treatment Information San Miguel Magistrate DWI Sobriety Drug Court New Mexico

San Miguel Magistrate DWI Sobriety Drug Court consent for disclosure of confidential substance abuse treatment information.

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Site Visit Confidentiality Form

This document informs drug courts that information transmitted during the site visit is confidential and cannot be discussed on any future dates. 

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Northeast Nebraska Drug Court Disclosure Of Confidential Substance Abuse Information

This confidentiality form is used to request consent to disclose substance abuse information to the court for the Northeast Nebraska Drug Court program.

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Confidentiality and Drug Court Pocedures – San Diego County Drug Court Program

This document provides information regarding San Diego County Drug Court Program’s procedures to maintain participant confidentiality.

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