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Get the free NAMI bFamilyb Release and binformation formb - El Dorado County

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NATIONAL ALLIANCE ON MENTAL ILLNESS NAME, EL DORADO COUNTY Western Slope, P.O. Box 393, El Dorado, Ca 95623 & So. Lake Tahoe, P.O. Box 550023, So. Lake Tahoe, Ca 96155, (530× 5774740 COVER LETTER
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How to fill out NAMI "Family Release and Consent Form":

01
Start by carefully reading the form to understand its purpose and the information it requires.
02
Provide your personal information, including your full name, address, and contact details.
03
If applicable, provide the name and relationship of the individual for whom you are giving consent or releasing information.
04
Review the sections related to the specific consent or release you are granting. This could include mental health treatment, medical records, or educational information.
05
Make sure to date and sign the form to indicate your consent and release of information.
06
If necessary, have a witness sign the form as well.
07
Keep a copy of the completed form for your records.

Who needs NAMI "Family Release and Consent Form":

01
Family members or caregivers who are involved in the care and support of an individual with a mental health condition may need to fill out this form.
02
Healthcare providers, including doctors, therapists, or counselors, may require this form to obtain necessary information from family members or caregivers.
03
Educational institutions or school authorities may request this form to gain access to a student's educational records in order to provide appropriate support and accommodations.
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Nami Family Release is a form that allows an individual to authorize the release of their family's medical information.
Anyone who needs to access their family member's medical records or share their own medical information with family members may be required to file Nami Family Release.
To fill out Nami Family Release, one must provide their name, contact information, family member's name, medical facility, and sign the authorization.
The purpose of Nami Family Release is to allow the sharing of medical information between family members for better coordination of care.
The information that must be reported on Nami Family Release includes the names of individuals involved, medical information to be shared, and the duration of the authorization.
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