This is a legal document that was released by the Massachusetts Department of Mental Health - a government authority operating within Massachusetts.
The document is provided in Portuguese.
Q: What is the Authorization for Release of Psychotherapy Notes?
A: A document that allows the release of psychotherapy notes.
Q: Who needs to sign the Authorization for Release of Psychotherapy Notes?
A: The patient and the mental health provider.
Q: What is the purpose of the Authorization for Release of Psychotherapy Notes?
A: To give permission to disclose psychotherapy notes to a specific individual or organization.
Q: Is the Authorization for Release of Psychotherapy Notes specific to Massachusetts?
A: Yes, this document is for use in Massachusetts.
Q: Is the Authorization for Release of Psychotherapy Notes available in Portuguese?
A: Yes, there is a Portuguese version of this document available.
Q: Is the Authorization for Release of Psychotherapy Notes a two-way release?
A: Yes, this document allows for the release of psychotherapy notes in both directions.
Q: Who can the psychotherapy notes be released to?
A: The psychotherapy notes can be released to a specific individual or organization as specified in the document.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Mental Health.