CONSENT TO RELEASE ALCOHOL AND DRUG TREATMENT RECORDS

Form Template

The simple  Consent To Release Alcohol And Drug Treatment Records app offers an efficient process of signing, collecting and electronically archiving the patients' consent forms.

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Patients can sign within the app on the electronic device. Like paper forms, the patient confidentiality is maintained like any other health records. Medical personnel is able to support the patients without any extensive training.

Alcohol and/or drug treatment records are protected under the federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 Code of Federal Regulations (CFR) Part 2, and the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR, Parts 160 and 164, and cannot be disclosed without written consent unless otherwise provided for in the regulations. The form is HIPAA compliant and can be used by any health care provider.

Features
  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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