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PSYCHOLOGICAL DISCLOSURE and RELEASE FORM (Confidential to be read only by The Label School counselor) At The Label School, we take an active interest not only in our students academic wellbeing,
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Carefully read the entire disclosure and release form to understand its purpose and implications.
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Provide your personal information such as your name, address, contact information, and any other details requested in the form.
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Answer all the questions honestly and to the best of your knowledge. It is important to provide accurate information for proper assessment and treatment.
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Who needs psychological disclosure and release?

01
Individuals seeking psychological or mental health services may be required to fill out a psychological disclosure and release form. This could include patients seeing a therapist, counselor, psychologist, psychiatrist, or any other mental health professional.
02
Academic institutions or employers may request a psychological disclosure and release form from students or employees, especially if specific mental health services are provided as part of their benefits or programs.
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In certain legal or court proceedings, individuals may be asked to complete a psychological disclosure and release form to share relevant mental health information. This is often done to assess an individual's mental state, competency, or ability to participate in legal proceedings.
It is important to note that the requirements for a psychological disclosure and release form may vary depending on the specific context or organization requesting it.
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Psychological disclosure and release is a document that allows an individual to provide information about their mental health history and authorize the release of this information to relevant parties.
Individuals who are seeking certain types of employment, security clearance, or participating in certain programs may be required to file psychological disclosure and release.
To fill out psychological disclosure and release, one must provide accurate information about their mental health history and sign a release authorizing the disclosure of this information to specified parties.
The purpose of psychological disclosure and release is to ensure that relevant parties are informed about an individual's mental health history in order to make informed decisions about their eligibility for certain opportunities or responsibilities.
Information that must be reported on psychological disclosure and release includes mental health diagnoses, treatments, medications, hospitalizations, and any other relevant information that may impact an individual's mental health.
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