Form DDD-2172A Authorization of Disclosure of Confidential Substance Use Disorder (Sud) Record Information - Arizona

What Is Form DDD-2172A?

This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on February 1, 2023;
• The latest edition provided by the Arizona Department of Economic Security;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form DDD-2172A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.