Missouri Authorization to Release Confidential Information — Mental Health is a form that allows individuals to consent to the sharing of their mental health information between healthcare providers. The form allows individuals to disclose their mental health information to other providers with whom they may be seeking treatment. There are two types of Missouri Authorization to Release Confidential Information — Mental Health forms: one for adults and one for minors. Both forms require the individual's signature and the signature of a witness. The adult form requires the signature of both the individual and the witness, while the minor form requires the signature of the individual, the witness, and the minor's parent or legal guardian. Both forms also require the individual's name, date of birth, and address. The form is valid for a maximum of one year from the date of signature.
Missouri Authorization to Release Confidential Information - Mental Health
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How to fill out Missouri Authorization To Release Confidential Information - Mental Health?
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