Find an Official Agency Form

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

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

TRS-9 Consent form signed by a Parent/Guardian for persons under the age of 18. Multiple languages available.

TRS-28 Used by patients requesting a copy of their clinical record. Multiple languages available. 

TRS-32 To be used by a patient requesting an amendment of their clinical record. Multiple languages available.

TRS-35 To be used by patients who wish to to restrict the disclosure of their confidential information. Multiple languages available.

TRS-36 Used by patients to request a review of denied requests to amend/restrict the disclosure of confidential information. Multiple languages available.

TRS-49 Authorizes consent of criminal justice clients to disclose information for the purposes of case management. Multiple languages available.

TRS-52 Required as part of the criminal background check process of all prospective employees in OASAS-certified facilities. Multiple languages available.