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Disclosure of Substance Use Disorder Patient Records
form to disclose their SUD treatment records to other health care providers through the HIE. Health care providers listed on the patient’s consent form access the HIE to view the patient’s records. could The consent form would need to include the name of the HIE, as well as the (1) name of a specific individual ...
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State Mental Health Authorities Directory
www.samhsa.govIowa Department of Human Services, Division of Mental Health and Disability Services . 1305 E. Walnut Des Moines, IA 50319 Phone:
SAMHSA Disaster Technical Assistance Center …
www.samhsa.govDisaster Behavioral Health Interventions Inventory ... Cognitive Behavioral Therapy for Acute Stress Disorder ... (CBI) ...
National Mental Health Services Survey (N-MHSS): …
www.samhsa.govPublication No. (SMA) 17-5049. ... 2016 ... National Mental Health Services Survey (N-MHSS), 2016. MHSS. Data . treatment facilities.
Key Substance Use and Mental Health Indicators in …
www.samhsa.govHowever, this publication may not be reproduced or distributed for a fee without the specific, ... adolescents aged 12 to 17 was lower in 2016 than in most
Results from the 2013 National Survey on Drug Use …
www.samhsa.govResults from the 2013 National Survey on Drug Use and Health: Summary of National Findings U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration
FREQUENTLY ASKED QUESTIONS - SAMHSA
www.samhsa.govFrequently Asked Questions Applying the Substance Abuse Confidentiality Regulations to Health Information Exchange (HIE)1 Prepared by the Legal Action Center for the
Single State Agency (SSA) Directory - samhsa.gov
www.samhsa.govNEBRASKA . Sheri Dawson, R.N. Division of Behavioral Health . Nebraska Department of Health and Human Services . P.O. Box 95026 . Nebraska State Office Building
Single State Agency (SSA) Directory - SAMHSA
www.samhsa.govDirectory of Single State Agencies (SSA) for Substance Abuse Services Center for Substance Abuse Treatment Division of State and Community Assistance
National Prevention Week 2018 - samhsa.gov
www.samhsa.govNational Prevention Week 2018 WHAT IS NATIONAL PREVENTION WEEK? ... the prevention of substance use and promotion of mental health. The observance brings individuals, organizations, coalitions, states, and communities together through local events to raise awareness about the ... importance of preventing substance use and mental disorders. WHEN ...
Successful Strategies for Recruiting, Training, and ...
www.samhsa.govSuccessful Strategies for Recruiting, Training, and Utilizing Volunteers is a guidance handbook designed for community groups and faith-based organizations seeking to maximize the skills of their volunteers, expand their services to the community, and enhance their effectiveness.
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Authorization for Kaiser Permanente to Use/Disclose ...
info.kaiserpermanente.orgUse/Disclose Protected Health Information . PATIENT NICKNAME / MAIDEN NAME / OTHER HEALTH RECORD NO. DATE OF BIRTH (MO/DAY/YR) PHONE NUMBER ( ) ADDRESS STREET OR BOX NUMBER CITY STATE ZIP + 4 . I authorize Kaiser Permanente to release the following information for: _____ NAME OF PERSON TO RECEIVE INFORMATION TITLE (PHYSICIAN, ATTORNEY, ETC.) ...
AUTHORIZATION TO DISCLOSE INFORMATION TO THE …
www.ssa.govauthorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person's eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs.
Intangibles—Goodwill and Other— Internal-Use Software ...
asc.fasb.orgThe ability to use the software separately without a significant diminution in utility or value. ... A public business entity that elects prospective transition shall disclose the following in the first interim period and annual period after the effective date: 1. The nature of and reason for the change in accounting principle
Authorization for the Use and Disclosure of Protected ...
ahca.myflorida.comAuthorization for the Use and Disclosure of Protected Health Information AHCA Form 1000-3003, Revised (AUG 2018) Page 1 of 2 . ... Agency permission to disclose (for example, “For the purposes of my assessment, treatment plan, attendance, or discharge plan.”) Disclosure of your psychotherapist’s notes needs separate written permission.
Consent to Disclose Health Information Form
albertahealthservices.capurpose of responding to your request and will be filed on the patient/client record. If you have questions about the collection and use of any information on this form, contact the Disclosure Help Line at 1.855.312.2265. Office Use Only - This form is not to be used to document a disclosure or release of information.
LIMITED POWER OF ATTORNEY TO TRANSFER OWNERSHIP …
transportation.ky.govLIMITED POWER OF ATTORNEY TO TRANSFER OWNERSHIP & DISCLOSE MILEAGE The Kentucky Transportation Cabinet prescribes this form for use in vehicle ownership transfer in compliance with KRS186A.215 and KRS 457.030 (4).
Disclosure of Substance Use Disorder Patient Records
www.samhsa.govDisclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me? 5 Brenda’s consent to disclose any personally identifying information related to her care, even if that information would not otherwise indicate that she had a SUD. o Bipolar disorder: Dr. Zachary does not meet the definition of a Part 2 Program and
Residential Property and Owners' Association Disclosure ...
www.ncrec.govREC 4.22 REV 8/21 Page 1 of 4 Instructions to Property Owners 1. The Residential Property Disclosure Act (G.S. 47E) (“Disclosure Act”) requires owners of residential real estate (single-family homes, individual condominiums, townhouses, and the like, and buildings with up …