Practice

Release of Information

A single-page release your clients can actually understand: who, what, why, for how long, and how to take it back. Set the direction of disclosure and check only the categories of information that apply: one form per recipient.

Pro Tool

Release of Information

An editable ROI authorization: named recipient, checked categories of information, stated purpose, expiration date, and revocation rights \u2014 one release per recipient, on your letterhead.

  • Narrow-by-default: named recipient, checked categories, stated purpose
  • Expiration and written-revocation language built in
  • Psychotherapy-notes carve-out and redisclosure caution
  • Prints on your letterhead with signature and date lines
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