Form 123 Agreement Under Section 37 or 37a - Massachusetts

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Form 123 Agreement Under Section 37 or 37a - Massachusetts

What Is Form 123?

This is a legal form that was released by the Massachusetts Department of Industrial Accidents - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Form 123 agreement?
A: A Form 123 agreement is a legal document used in Massachusetts under Section 37 or 37a.

Q: What is Section 37 or 37a?
A: Section 37 or 37a refers to specific sections of the Massachusetts General Laws that govern agreements related to mental health treatment.

Q: Who uses a Form 123 agreement?
A: Form 123 agreements are used by mental health providers and individuals seeking mental health treatment in Massachusetts.

Q: What is the purpose of a Form 123 agreement?
A: The purpose of a Form 123 agreement is to outline the rights and responsibilities of both the mental health provider and the individual receiving treatment.

Q: What information is included in a Form 123 agreement?
A: A Form 123 agreement typically includes information such as the individual's diagnosis, treatment plan, confidentiality rights, and consent for treatment.

Q: Is a Form 123 agreement legally binding?
A: Yes, a Form 123 agreement is a legally binding document in Massachusetts.

Q: How can I obtain a Form 123 agreement?
A: You can obtain a Form 123 agreement from a mental health provider or through the Massachusetts Department of Mental Health.

Q: Can a Form 123 agreement be revoked?
A: Yes, a Form 123 agreement can be revoked by either the mental health provider or the individual receiving treatment, but certain conditions and procedures may apply.

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Massachusetts Department of Industrial Accidents;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 123 by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Industrial Accidents.

Download Form 123 Agreement Under Section 37 or 37a - Massachusetts

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  • Form 123 Agreement Under Section 37 or 37a - Massachusetts, Page 1
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