Authorization for Release of Psychotherapy Notes - Two Way is a legal document that was released by the Massachusetts Department of Mental Health - a government authority operating within Massachusetts.
Q: What is the Authorization for Release of Psychotherapy Notes?
A: The Authorization for Release of Psychotherapy Notes is a document that allows the release of an individual's psychotherapy notes to authorized individuals or entities.
Q: Who needs to sign the Authorization for Release of Psychotherapy Notes?
A: The individual receiving psychotherapy needs to sign the Authorization for Release of Psychotherapy Notes.
Q: What is the purpose of the Authorization for Release of Psychotherapy Notes?
A: The purpose of this document is to obtain consent from the individual receiving psychotherapy to release their psychotherapy notes.
Q: Who can the psychotherapy notes be released to?
A: The psychotherapy notes can only be released to individuals or entities specifically authorized by the individual receiving psychotherapy.
Q: Are there any restrictions on the release of psychotherapy notes?
A: Yes, there are restrictions on the release of psychotherapy notes. They cannot be released without the individual's written consent, except in certain situations required by law.
Q: Do I need to provide a reason for the release of psychotherapy notes?
A: Yes, the Authorization for Release of Psychotherapy Notes requires you to provide a reason for the release of the notes.
Q: What happens after the Authorization for Release of Psychotherapy Notes is signed?
A: After the Authorization for Release of Psychotherapy Notes is signed, the authorized individual or entity can obtain the individual's psychotherapy notes.
Q: Can the Authorization for Release of Psychotherapy Notes be revoked?
A: Yes, the Authorization for Release of Psychotherapy Notes can be revoked by the individual at any time, except when it has already been relied upon.
Q: Are there any fees associated with the release of psychotherapy notes?
A: There may be fees associated with the release of psychotherapy notes, such as copying or mailing costs, but these fees should be reasonable.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Mental Health.