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California Request for Release of Minor's Confidential Information

State:
California
Control #:
CA-CH-176
Format:
PDF
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Description

This official form asks a judge to make some confidential information about a child (age 0-18) able to be viewed by the public.

California Request for Release of Minor's Confidential Information is a form that is used to allow the disclosure of certain records and information about a minor to non-custodial parents, guardians, or third-party individuals. This form is typically used by school districts, medical providers, and other agencies that maintain confidential information about minors. The main types of California Request for Release of Minor's Confidential Information are: 1. Request for Release of Educational Records: This form is used to disclose educational records to non-custodial parents, guardians, or third-party individuals. 2. Request for Release of Medical Records: This form is used to disclose medical records to non-custodial parents, guardians, or third-party individuals. 3. Request for Release of Psychological/Mental Health Records: This form is used to disclose psychological/mental health records to non-custodial parents, guardians, or third-party individuals. 4. Request for Release of Other Confidential Information: This form is used to disclose any other confidential information to non-custodial parents, guardians, or third-party individuals.

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Instructions. Who should complete this form?The person submitting a request must complete and file Request to Keep Minor's Information Confidential (form DV-160), a confidential form. If you do not agree with the request to release confidential information, you must complete form. Part 1. Introduction. Requests for release of a minor's protected health information (PHI) are similar in some respects to requests for an adult's PHI. This document summarizes the rights of minors to consent to various types of health care without the consent or knowledge of their parents1. 141: Confidentiality of Information in Application for. Petition for Appointment of General Conservator or Guardian (Minor). Form Name.

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California Request for Release of Minor's Confidential Information