Release Of Information Form Mental Health In North Carolina

State:
Multi-State
Control #:
US-00458
Format:
Word; 
Rich Text
Instant download

Description

The Release of Information Form for mental health in North Carolina is a crucial legal document that allows individuals to authorize the sharing of their mental health records with specified parties. This form is essential for individuals seeking to ensure their privacy while enabling relevant professionals, such as attorneys and healthcare providers, to access pertinent information. Users must fill in their personal details, specify the recipients of the information, and indicate the scope of the release. It is important to include a defined expiration date for the authorization to maintain control over one’s information. The form serves multiple use cases, from facilitating legal proceedings to supporting mental health treatment coordination. Attorneys and legal professionals may utilize this form to obtain necessary client information, while mental health professionals benefit by ensuring compliance with confidentiality regulations. Additional filling instructions include signing and dating the form, and noting the Social Security number for identification purposes. The document's structure supports clarity, allowing users with minimal legal experience to understand and complete the form effectively.

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FAQ

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.

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.

Check their website: Information about how to get your health record may be found under the Contact Us section of a provider's website. It may direct you to an online portal, a phone number, an email address, or a form. Phone or visit: You can also call or visit your provider and ask them how to get your health record.

A. Adults: 11 years after last date of patient encounter if no litigation, claim, audit, or official action involving the records has been initiated.

Who has the right to keep my original medical record? Under North Carolina law, your health care provider is required to keep your original medical record. You have the right to see and get a copy of it.

Anyone with knowledge that a person is dangerous to himself or others due to mental illness and/or substance abuse may present to the local magistrate's office to file a petition for involuntary commitment.

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Release Of Information Form Mental Health In North Carolina