Sample Consent to: Third-Party Payer Authorizing Disclosure of Confidential Sud Patient Records is a legal document that was released by the Alabama Department of Mental Health - a government authority operating within Alabama.
Q: What is the purpose of the consent?
A: To authorize disclosure of confidential substance abusepatient records to a third-party payer.
Q: Who is the consent given to?
A: The consent is given to a third-party payer.
Q: What kind of records are being disclosed?
A: Confidential substance abuse patient records.
Q: Is this consent specific to Alabama?
A: Yes, this consent is specific to Alabama.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Department of Mental Health.