Get Roi Client Release Of Information Consent Form

This guide provides clear and supportive instructions on how to complete the ROI Client Release Of Information Consent Form online. By following these steps, users can efficiently provide consent for their information to be shared, ensuring better service from participating agencies.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter your full name in the 'Client Name' field. Be sure to provide accurate information.
3. Next, locate the 'HMIS ID#' field and input your unique identification number if applicable. This helps to associate your record accurately.
4. In the authorization statement, enter the agency's name you are permitting to share your information in the designated field.
5. Review the details regarding the release of your information. Understand that you are allowing the specified agency to share your information with other participating agencies to better assist you.
6. Indicate the expiration date for the authorization in the format MM/DD/YYYY. It's recommended to set it two years from the enrollment date, unless otherwise specified.
7. Provide your signature in the designated field to confirm your authorization and date it accordingly.
8. If you are a minor or if necessary, fill in the relationship to the minor in the provided space.
9. Complete the witness section by entering the witness's name in the 'Witness Name (Print)' field and obtaining their signature.
10. Once you have reviewed all entries, save your changes, and proceed to download, print, or share the completed form as needed.

Complete your documents online today for a smoother process.