Therapist Release of Information
Form Template
If a therapist feels medical information may be useful to the therapy and health care of a particular patient, the therapist may request patient authorization of access to records through a release of information.
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This application is a simple therapist release of information form for a child. This form requires a child and parent signature, both of which can be captured within the app itself. With the completion of this form, medical records can be released to the therapist.
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