Authorization for Release of Information form

Department of Behavioral Health and Developmental Disabilities

This government document is issued by Department of Behavioral Health and Developmental Disabilities for use in Georgia

Add to Favorites
File Details: PDF (161 KB)
Source
https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dbhdd.georgia.gov/document/document/authorization-release-information-form/download&sa=U&ved=2ahUKEwiCsr-gvfeKAxUqh_0HHQrYKS84HhAWegQIBRAB&usg=AOvVaw1ogrGJm21lrMoE92-w5P-w&fexp=72821495,72821494

Have Questions About This Form?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions