DJJ Form MHSA013 Youth Consent for Release of Substance Abuse Treatment Records - Sample - Florida

DJJ Form MHSA013 Youth Consent for Release of Substance Abuse Treatment Records - Sample - Florida

What Is DJJ Form MHSA013?

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

FAQ

Q: What is DJJ Form MHSA013?
A: DJJ Form MHSA013 is a Youth Consent for Release of Substance Abuse Treatment Records in Florida.

Q: What is the purpose of DJJ Form MHSA013?
A: The purpose of DJJ Form MHSA013 is to obtain consent from a youth for the release of their substance abuse treatment records.

Q: Who is required to complete DJJ Form MHSA013?
A: The youth, their legal guardian, or their legal representative is required to complete DJJ Form MHSA013.

Q: What information is needed on DJJ Form MHSA013?
A: DJJ Form MHSA013 requires information such as the youth's name, date of birth, the name of the substance abuse treatment program, and the specific records to be released.

Q: Is DJJ Form MHSA013 specific to Florida?
A: Yes, DJJ Form MHSA013 is specific to Florida.

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Form Details:

  • Released on August 1, 2006;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DJJ Form MHSA013 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

Download DJJ Form MHSA013 Youth Consent for Release of Substance Abuse Treatment Records - Sample - Florida

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