SCA donates over $140,000 in services per year to reach people in need. Your donation helps us reach more.

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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.

There are two types of information release forms: HIPAA-Compliant and non HIPAA- Compliant. Please consult your therapist to determine which of these you will need to sign. To view or download our Release of Information forms,click one of the buttons below.

NOTE: To view these forms, you will need a current PDF viewer installed on your computer. Click here to download a free PDF reader if your computer does not have one.

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