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Regulatory Compliance (QA, TA, SQA)

Site Review Instruments for OASAS-Certified Settings

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

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Reporting (PAS)

Schedule C - Capital Funding Request Form

Capital Project Funding Request Form

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Consent and Authorization (TRS)

Prohibition on Redisclosure of Information TRS-1

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

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Consent and Authorization (TRS)

Release of Information Concerning SUD Patient TRS-2

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

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Consent and Authorization (TRS)

Withdrawal of Consent for Release of Information TRS-2.2

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

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Consent and Authorization (TRS)

Consent to Release General Information to Family TRS-3

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.

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Consent and Authorization (TRS)

Release Information to Criminal Justice Agencies TRS-4

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

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Consent and Authorization (TRS)

Authorization for Release of HIV-Related Information TRS-5

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

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Consent and Authorization (TRS)

Consent to Disclose Communicable Diseases TRS-7

TRS-7 Consent for the disclosure of communicable diseases including COVID-19 to the New York State Department of Health. Multiple languages available.

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Consent and Authorization (TRS)

Confidentiality Notice TRS-8

TRS-8 Informs Patients How Their Confidential Information Will be Handled. Multiple languages available.

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