In order to release records, a signed authorization for the release of protected health information is required. For minors, a parent or guardian signature is required. For youth ages 18 and older, and youth who are minors but have a substance use disorder diagnosis, the youth’s signature is required. The type and purpose of the information to be shared must be initialed.
Fax all Releases of Information with a list of the specific documents requested to the attention of Quality Assurance at 866.223.0888.