Consent to Disclose Information
The Consent to Disclose Information protects all confidential information regarding your child's/patient's medical care throughout the duration of his/her involvement with the Adolescent Substance Abuse Program. Their record is protected by the federal confidentiality rules (42 CFR Part 2).
If you would like an ASAP clinician or staff member to speak with anyone else regarding your child's/patient's medical record you will need to fill out the Authorization Form.
Click here to download this form
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617-355-5433