Alcoholism and Chemical Dependency Programs Authorization for Release of Information - North Carolina

Alcoholism and Chemical Dependency Programs Authorization for Release of Information is a legal document that was released by the North Carolina Department of Public Safety - a government authority operating within North Carolina.

FAQ

Q: What is the Alcoholism and Chemical Dependency Programs Authorization for Release of Information?A: The Alcoholism and Chemical Dependency Programs Authorization for Release of Information is a form used in North Carolina to obtain consent for the release of confidential information related to alcoholism and chemical dependency treatment.

Q: What is the purpose of this form?A: The purpose of this form is to allow individuals to give consent for the release of their confidential information related to alcoholism and chemical dependency treatment.

Q: Who needs to complete this form?A: Individuals who have sought or received treatment for alcoholism or chemical dependency in North Carolina may be required to complete this form.

Q: What information can be released with this authorization?A: With this authorization, information related to alcoholism and chemical dependency treatment can be released, such as medical records, treatment plans, and progress notes.

Q: Is this form mandatory?A: No, this form is not mandatory, but it may be required by certain treatment providers or organizations in North Carolina.