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This authorization may include disclosure of information relating to ALCOHOL and DRUG TREATMENT, MENTAL HEALTH TREATMENT, and CONFIDENTIAL. I, or my authorized representative, request that health information regarding my care and treatment be released as set forth on this form:.However, the HIPPA regulations only permit sharing of psychotherapy notes with authorization. This is strictly confidential client medical information. The federal rules restrict any use of this information to criminally investigate or prosecute any alcohol or drug abuse patient. Or mental health services, and treatment for alcohol and drug abuse. Tain types of reproductive care, sexually transmitted diseases, and drug, alcohol or substance abuse, and mental health treatment (See, e.g. The Hawaii State Department of Health, Alcohol and Drug Abuse Division (ADAD) must keep information about your health care confidential. Consent for Release of Confidential Information. â–¡Treatment Summary.