Release of Information Forms
Legal and ethical guidelines require SCA to obtain your signature on an Information Release Form before disclosing information about you or your therapy to a third party. Specific exceptions to this requirement are spelled out in our Notice of Privacy Practices.
Click the button below to view two types of Information Release Form. They will be displayed as a package in a PDF reader installed on your computer. You will need to choose from a list in the viewer the file you wish to view.
NOTE: Click here to download a free PDF reader if your computer does not have one.
Please note that:
- You will need to find out from your therapist which release form you need to sign.
- You must have an adult sign the release form as a witness to your signature.
Click this button to view and print our Release of Information documents
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