As a clinician, you may come across circumstances where sharing client data between professionals is helpful not only to the client, but to other service providers. This Release of Information Form will allow you to do this while staying within HIPAA regulations.

Release of information (ROI) is the process of providing access to protected health information (PHI) to an individual or entity authorized to receive or review it. This form provides all of the necessary fields of information for this process. 

This form is also included in the Client Intake Packet bundle.