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Image of the outline of New York State. 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. Learn more about Consent to Release General Information to Family TRS-3
Image of the outline of New York State. Consent and Authorization (TRS), Reporting (PAS) Consent to Release Personal Information PAS-101L PAS-101L Consent to release information concerning treatment history for the purposes of obtaining insurance benefits. Multiple languages available. Learn more about Consent to Release Personal Information PAS-101L
Image of a report. אידיש (Yiddish), Reporting (PAS) Consent to Release Personal Information (PAS-101L) - Yiddish Yiddish. Consent to release information concerning treatment history for the purposes of obtaining insurance benefits. Download about Consent to Release Personal Information (PAS-101L) - Yiddish
Image of a report. Reporting (PAS) Continuing Care Per Service Report (PAS-126) A continuing care per visit form must be entered for each client receiving continuing care service in this program. Download about Continuing Care Per Service Report (PAS-126)
Image of a report. Prevention (PR) Counseling Participant Roster (PR-2 ) Use this form to track active prevention counseling participants. Download about Counseling Participant Roster (PR-2 )
Image of a report. Prevention (PR) Counseling Services Census Report (PR-1) Use this form to track census of prevention counseling participants on a monthly basis. Download about Counseling Services Census Report (PR-1)
Image of a report. Regulatory Compliance (QA, TA, SQA) Course and Results of Treatment (TAG-10) Sample course and results of problem gambling treatment. Download about Course and Results of Treatment (TAG-10)
Image of a report. COVID-19 Vaccine, Telepractice & Regulatory Guidance, Consent and Authorization (TRS) COVID-19 Immunization Consent Form - General General consent form for COVID-19 immunization. Download about COVID-19 Immunization Consent Form - General
Image of a report. COVID-19 Vaccine, Telepractice & Regulatory Guidance, Consent and Authorization (TRS) COVID-19 Immunization Consent Form - Service Recipients Consent form for COVID-19 immunization of OASAS service recipients. Download about COVID-19 Immunization Consent Form - Service Recipients
Image of a report. Professional Development (PDS) CPP 250-Hour Certificate Program (PDS-17.5, Part D) CPP 250-hour Certificate Program Information Download about CPP 250-Hour Certificate Program (PDS-17.5, Part D)
