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Behavioral Health HIPAA Authorization Name: (Last) (First) (MI) Date of Birth: Printed Name of Parent or Legal Guardian (If applicable): Health Insurance Portability and Accountability Act (HIPAA)

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What is behavioral health counseling releases?

Behavioral health counseling releases are forms that allow for the sharing of information related to a patient's mental health treatment and care.

Who is required to file behavioral health counseling releases?

Healthcare providers, mental health professionals, and facilities that provide behavioral health counseling services are required to file behavioral health counseling releases.

How to fill out behavioral health counseling releases?

Behavioral health counseling releases can be filled out by providing the patient's personal information, the reason for the release, and specifying the information to be shared.

What is the purpose of behavioral health counseling releases?

The purpose of behavioral health counseling releases is to facilitate the sharing of mental health treatment information between providers to ensure coordinated and comprehensive care for the patient.

What information must be reported on behavioral health counseling releases?

Behavioral health counseling releases must include details such as the patient's name, date of birth, specific information to be shared, duration of the release, and signatures of the patient or legal guardian.

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