Washington Sealed Confidential Reports — GR 22 is a type of report issued by the Washington State Department of Health (DOH). It is a legally binding document that contains information about a person's mental health, substance abuse, or developmental disabilities. The report is kept confidential and is only available to the person who requested it and the DOH. There are three types of Washington Sealed Confidential Reports — GR 22: Mental Health, Substance Abuse, and Developmental Disability. The Mental Health report includes information about a person's mental health diagnosis, treatment, medications, and any emergency interventions that have been used. The Substance Abuse report includes information about a person's substance abuse history, treatment, and any interventions that have been used. The Developmental Disability report includes information about a person's developmental disabilities, diagnosis, treatment, and any interventions that have been used.