Authorization for Release of Psychotherapy Notes - Two Way - Massachusetts (Portuguese)

Authorization for Release of Psychotherapy Notes - Two Way - Massachusetts (Portuguese)

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.

FAQ

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.

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Form Details:

  • Released on September 1, 2018;
  • The latest edition currently provided by the Massachusetts Department of Mental Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Authorization for Release of Psychotherapy Notes - Two Way - Massachusetts (Portuguese)

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