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Topic: Consent

Valencia County DWI Drug Court Consent Form

This document is a consent form to disclose medical information of DWI participants to specific treatment providers.

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Teton County DUI/Drug Court Authorization for Release of Confidential Information

This Authorization for Relase of Confidential Information form was provided by the Teton County DUI/Drug Court in Teton County, WY.

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Luzerne Consent Form

This consent form is used to allow the Luzerne County Treatment Court to retain information regarding a participant’s case following expungement of his/her charges if granted.

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Teton County DUI/Drug Court Program Understanding and Agreement

This is an agreement for Teton County’s DUI/Drug Courts that provides a list of conditions that must be agreed upon prior to starting the program.

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Rockland County Drug Court Consent for Disclosure of Confidential Information

This consent form is used by the Rockland County Drug Court program for the release of medical information to the court.

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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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Delta County Family Dependency Treatment Court Consent to Release Information

This consent is signed by the parents to release information to the Delta Family Dependency Treatment Court.

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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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West Virginia Defendant’s Waiver of Time Limits and Right To Trial/Sentence in the Required Term of Court

This consent form must be signed by entering participants of the West Virginia Mental Health or Drug Court programs.

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