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Coordination of Care & Release of Information for Behavioral Health Practices, Fillable PDF

Coordination of Care & Release of Information for Behavioral Health Practices, Fillable PDF

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Create a more organized patient documentation process with this Coordination of Care and Release of Information Form designed for mental health and behavioral health practices.

This professional form provides a structured way to document a patient's authorization for communication and disclosure of information between their behavioral health provider, primary care physician (PCP), and/or other healthcare providers or facilities.

Perfect for therapists, counselors, psychologists, psychiatrists, behavioral health providers, and private practices looking for professional patient paperwork.

✦ FEATURES ✦

➔Printable - just print and start writing
➔Computer/Laptop/Tablet
          - Tablet: reMarkable, iPad, etc. 
          - Apps: GoodNotes, Notability etc.          
          - Fillable PDF: get FREE Adobe Acrobat Reader https://get.adobe.com/reader/ 
➔Size - US Letter 8.5x11

REMINDER:  This digital download is for personal use.  If you would like to redistribute (make multiple copies) and share online, distribute as handouts for clients, groups and workshops etc., you can purchase the Redistribution License by CLICKING HERE.  Purchase only ONE time and it’s good for ALL past and future purchases at CC Digital Studios Website, Etsy and TPT. 

EU/EEA Buyer Notice: In accordance with EU consumer protection laws, digital content delivered via instant download cannot be returned, cancelled, or refunded once the download begins. By completing your purchase, you explicitly acknowledge that you lose your 14-day right of withdrawal. If you encounter any technical issues with your file, please contact me immediately for assistance.

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