source: Office of Alcoholism and Substance Abuse Services

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.

Topics: Confidentiality, Consent, Contracts For Treatment Services, Disclosure, Treatment, Veteran, Veterans

Source(s)

Office of Alcoholism and Substance Abuse Services

Written By

Unknown

Resource Type(s)

Sample Program & Operational Documents

Published Year

2009

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.

Topics: Consent, Criminal, Defendant, Disclose, Disclosure, Information, Release, Treatment