These forms may be used by individuals who wish to communicate with the Department of Mental Health to authorize the release of, or amend, restrict, or request access to their protected health information. The forms may be downloaded and printed as needed.
This page, DMH Privacy Forms, is offered by
DMH Privacy Forms
Table of Contents
One Way Release of Information Forms
Two Way Release of Information General Use Forms
Two Way Release of Psychotherapy Notes Forms
Additional Authorization Forms
Additional Privacy Forms
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