This is a legal form that was released by the Virginia Department of Social Services - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 032-02-0162-01-ENG?
A: Form 032-02-0162-01-ENG is the Interagency Consent to Release Confidential Information for Alcohol or Drug Patients form used in Virginia.
Q: What is the purpose of Form 032-02-0162-01-ENG?
A: The purpose of Form 032-02-0162-01-ENG is to obtain consent from alcohol or drug patients in Virginia to release their confidential information to interagency organizations.
Q: Who uses Form 032-02-0162-01-ENG?
A: Alcohol or drug patients in Virginia and interagency organizations use Form 032-02-0162-01-ENG.
Q: What information is released using this form?
A: This form is used to release confidential information related to an individual's alcohol or drug treatment, including diagnosis, treatment history, and other relevant information.
Q: Is the use of Form 032-02-0162-01-ENG mandatory?
A: The use of Form 032-02-0162-01-ENG may be required in certain situations where interagency organizations need access to an individual's confidential information for treatment or coordination purposes.
Q: Can Form 032-02-0162-01-ENG be used in states other than Virginia?
A: No, Form 032-02-0162-01-ENG is specific to Virginia and may not be applicable in other states.
Form Details:
Download a printable version of Form 032-02-0162-01-ENG by clicking the link below or browse more documents and templates provided by the Virginia Department of Social Services.