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Templates
Government forms
PROB 11I Form - Aug 2006

Government forms

PROB 11I Form - Aug 2006

Authorization to Release Confidential Information - Mental Health Treatment Programs

The form is used to authorize the release of mental health information.

Originally published by: uscourts.gov

Used 27 times

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Frequently asked questions

The form is used to authorize the release of mental health information. Individuals who want to confirm their mental health information release can fill out this form. Once completed, submit the document to the entity that requires releasing your mental health information.
Individuals who want to authorize the release of their mental health information.
The completed PROB 11I Form should be submitted to the entity that requires the release of your mental health information.

Used 27 times