Find an Official Agency Form

These instruments are used by OASAS Staff during Regulatory Compliance Site Reviews.

TRS-1 A prohibition of re-disclosure of information accompanies all disclosure consent forms concerning substance use disorder patients. Multiple languages available.

TRS-2 Generic Part 2 Consent Form concerning substance use disorder patients. Multiple languages available.

TRS-2.2 Used to withdraw consent previously granted. Multiple languages available.

TRS-3 Consent to disclose information concerning substance use disorder, patient's presence in facility, and general medical condition to friends or relatives. Multiple languages available.

TRS-4 Irrevocable consent to communicate with criminal justice agencies/persons. Multiple languages available.

TRS-5 Consent to Disclose confidential HIV/AIDS Information. Multiple languages available.