Release Of Information Form Mental Health In Contra Costa

• Category: Releases and Waivers - Employment
• State: Multi-State
• County: Contra Costa
• Control #: US-00458
• Format: Word; Rich Text

Description

The Release of Information Form Mental Health in Contra Costa is designed to authorize the sharing of sensitive mental health information between healthcare providers and other authorized parties. This form facilitates communication and ensures that relevant data regarding an individual's mental health treatment can be shared as necessary for continuity of care or legal matters. Key features include clear identification of the parties involved, the scope of information to be released, and an indemnity clause that protects the releasing party from liability. Users must complete all sections, including personal details and the specific entities authorized to receive the information. This form can be useful for attorneys, partners, owners, associates, paralegals, and legal assistants who may need to obtain mental health records for cases involving psychological evaluations, disability claims, or legal defenses. It is critical that users understand the importance of informed consent and that the authorization remains valid until explicitly revoked in writing. Moreover, a photocopy of the signed authorization holds the same legal weight as the original, ensuring flexibility in its use.