DA Form 5018-R Adapcp Client's Consent Statement for Release of Treatment Information (LRA)

DA Form 5018-R Adapcp Client's Consent Statement for Release of Treatment Information (LRA)

What Is DA Form 5018-R?

This is a military form that was released by the U.S. Department of the Army (DA) on November 1, 1981. The form, often mistakenly referred to as the DD Form 5018-R, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 5018-R?
A: DA Form 5018-R is a document called Adapcp Client's Consent Statement for Release of Treatment Information (LRA).

Q: What is the purpose of DA Form 5018-R?
A: The purpose of DA Form 5018-R is to obtain consent from a client for the release of their treatment information.

Q: Who uses DA Form 5018-R?
A: DA Form 5018-R is used by clients of the Army Substance Abuse Program (ASAP).

Q: What is Adapcp?
A: Adapcp stands for Army Drug and Alcohol Prevention and Control Program.

Q: What is LRA?
A: LRA stands for Locus of Replication A.

Q: Why is the consent for release of treatment information important?
A: Consent for release of treatment information is important as it allows the client's treatment information to be shared with authorized individuals or organizations.

Q: What information can be released with consent?
A: With consent, the client's treatment information such as diagnosis, progress, and prognosis can be released to authorized individuals or organizations.

Q: Is consent for release of treatment information mandatory?
A: Consent for release of treatment information is voluntary and can be given or withdrawn by the client at any time.

Q: Who can authorize the release of treatment information?
A: The client themselves or their legal guardian, if applicable, can authorize the release of treatment information.

Q: Are there any limitations on the release of treatment information?
A: Yes, there may be limitations on the release of treatment information based on state and federal laws regarding privacy and confidentiality.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 5018-R down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5018-R Adapcp Client's Consent Statement for Release of Treatment Information (LRA)

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  • DA Form 5018-R Adapcp Clients Consent Statement for Release of Treatment Information (LRA), Page 1
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