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Federal Register / Vol 44, No. 117 / Friday, June 1 5, 1 9 7 9 / N otices34697Appendix IV. Notice of official retraction Federal agency contractile of Misstates/numerate notice published in Federal RegisterReason
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How to fill out confidentiality of substance use

01
Obtain the necessary forms from a healthcare provider or treatment facility.
02
Read and understand the confidentiality agreement before filling it out.
03
Fill out the required information accurately, including your personal details and the details of the substance use treatment.
04
Sign and date the form to acknowledge your understanding and agreement to maintain confidentiality.
05
Return the completed form to the appropriate party as instructed.

Who needs confidentiality of substance use?

01
Individuals seeking substance use treatment
02
Healthcare providers and treatment facilities
03
Support groups and counselors
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Confidentiality of substance use is the protection of information related to an individual's substance use treatment.
Healthcare providers and facilities that provide substance use treatment are required to file confidentiality of substance use.
Confidentiality of substance use is usually filled out by entering specific information about the treatment provided to an individual and the measures taken to protect their confidentiality.
The purpose of confidentiality of substance use is to protect the privacy of individuals seeking substance use treatment and encourage them to seek help without fear of their information being disclosed.
Information such as the type of treatment provided, dates of service, and any disclosures made must be reported on confidentiality of substance use.
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