Forms for Record Request Form & General Authorizations

Authorization For the Release and Disclosure of Psychotherapy Notes

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FERPA Release- Education Records

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General Education Authorization Form

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General Employment Authorization Form

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General Insurance Authorization Form

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General Insurance- PIP Authorization Form

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General Medical Authorization Form - No Language

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General Medical Authorization Form- With Language

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Record Request Form

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All records we receive are checked for accuracy and distributed within 24 hours of receipt via a secure online repository.

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