Topic: Disclose

Cherokee County Drug Court Program Confidentiality Agreement

This is a confidentiality agreement from Cherokee County that the participant must sign in regards to medical records.

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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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Sante Fe County DWI/Drug Court Consent Form for Confidential Information

This document contains the consent form for the release of participant’s treatment information for the Sante Fe DWI/Drug Court programs.

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Caroline County Adult Drug Court Consent for the Release of Confidential Information

This consent form is used to disclose personal information from the program to the court for Caroline County Adult Drug Court program.

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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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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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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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