The releasor authorizes his/her employer to release employment references including, but limited to, his/her employment history and wages and any information which may be requested relative to his/her employment, employment applications, and other related matters, and to furnish copies of any and all records which the employer may have regarding his/her employment.
Release Of Information For Mental Health In Mecklenburg
Category:
State:
Multi-State
County:
Mecklenburg
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Greg Fell is the Director of Public Health in Sheffield. He graduated from Nottingham University with a degree in biochemistry and physiology in 1993.
Charles Bradley is the Mecklenburg County Youth and Family Services (YFS) Division Director. With an annual budget of $55 million and over 450 staff, Mr. Bradley oversees a full continuum of child welfare services to strengthen families and communities to keep children safe in Charlotte, North Carolina.
Raynard Washington, Public Health Director Raynard Washington is responsible for managing all public health and environmental health activities in Mecklenburg County.
Mecklenburg County Manager Dena R. Diorio received the 2025 Excellence in Leadership Award by the Rotary Club of Charlotte at its meeting on Feb.
Kelly Kimple. Dr. Kelly Kimple serves as the North Carolina State Health Officer and the acting Director of the NCDHHS Division of Public Health. In this role, she leads initiatives to protect and improve health and well-being statewide.
Due to the large volume of records requests received by the Department and often the complexity of records requests, please allow 16 days for delivery of documents requested.
For information about your medical record, please see this Medical Records page or call (984) 974-3226. If you would like to request a copy of information in a medical record, please FAX a completed authorization form to (984) 974-0474.
Who Owns Medical Records: 50 State Comparison StateMedical Record Ownership LawsDetails New York No law identified conferring specific ownership or property right to medical record North Carolina Hospital and/or physician owns medical record 10A N.C. Admin. Code 13B.3903: Medical records are the property of the hospital.49 more rows •
For information about your medical record, please see this Medical Records page or call (984) 974-3226. If you would like to request a copy of information in a medical record, please FAX a completed authorization form to (984) 974-0474.
Residents within Mecklenburg County can dial 311. If outside the county, please dial 704.336. 7600.
