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AUTHORIZATION for the Use and/or Disclosure Of HEALTH INFORMATION (Not to be used for Psychotherapy Notes) Name: Telephone:Address: University of Maine System Student/Emil. ID #DOB:Instructions: Please

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1. To fill out the form 'not to be used', follow these steps:
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6. Follow the specific instructions for each section of the form, filling in the required information.
7. Double-check all the information you entered to ensure its accuracy and completeness.
8. If there are any additional documents or supporting materials required, make sure to attach them properly.
9. Review the completed form one last time to verify that everything is correctly filled out.
10. Sign and date the form where indicated, following any additional instructions provided.
11. Submit the form as directed, either by mail, in person, or through an online submission portal.
12. Keep a copy of the filled-out form and any supporting documents for your records.
13. Note: If you have any doubts or questions, it is advisable to seek assistance from the appropriate authority or consult a professional.

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What is not to be used?

Not to be used refers to forms, procedures, or materials that should not be utilized in a specific context, typically due to being outdated or inappropriate.

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Typically, individuals or organizations that have previously filed relevant forms that are now deemed not to be used must ensure they do not submit them.

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Since not to be used indicates something should not be utilized, there is no process for filling out these forms as they are not applicable.

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The purpose is to clarify which forms or procedures are obsolete or irrelevant, ensuring individuals and organizations do not submit unnecessary paperwork.

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As these are not applicable, no information is required or should be reported on forms labeled as not to be used.