Sample Consent to: Individual
Sample Consent
Sample Consent: Health Information Exchange
Sample Consent to: Entity with a Treating Provider Relationship
Sample Consent to: Entity without a Treating Provider Relationship & Participants
Sample Consent to: Third-party Payer
Sample Letter in Response to a Subpoena when a patient is NOT being investigated or prosecuted for a crime
Sample Letter in Response to a Subpoena when a patient is being investigated or prosecuted for a crime
Sample Notice Prohibiting Re-disclosure of Substance Use Disorder Patient Records
42CFR and HIPAA Approved Release