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Templates
Government forms
PROB 11B - Authorization to Release Confidential Information - Drug Abuse Programs - Aug 2006

Government forms

PROB 11B - Authorization to Release Confidential Information - Drug Abuse Programs - Aug 2006

This form is used to obtain a patient's written consent to release information about their substance abuse treatment.

Originally published by: uscourts.gov

Used 25 times

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Frequently asked questions

The Release of Information Substance Abuse form is used to obtain a patient's written consent to release information about their substance abuse treatment. This form must be submitted to the court or a person designated by the court.
Patients who have received substance abuse treatment and are required to release information to the court or a person designated by the court.
The completed form should be submitted to the court or a person designated by the court.

Used 25 times