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RELEASE OF INFORMATION (ROI) FOR CHEMICAL DEPENDENCY (CD) SERVICESMULTIPARTY CONSENT FORM Consent for the Release of Confidential Alcohol or Drug Treatment Information, (NAME OF CLIENT)(DATE)Authorize
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Chemical dependency cd refers to a condition where a person is addicted to substances such as drugs or alcohol.
Individuals who are diagnosed with chemical dependency or are receiving treatment for it are required to file for chemical dependency cd.
To fill out for chemical dependency cd, individuals need to provide information on their diagnosis, treatment plan, and progress towards recovery.
The purpose of filing for chemical dependency cd is to ensure that individuals with chemical dependency receive the necessary support and treatment.
Information that must be reported on for chemical dependency cd includes diagnosis, treatment history, and current status of recovery.
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