TRS-61 Release of Behavioral Health Information
The following form is available in multiple languages.
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Release of Behavioral Health Information (TRS-61) - English
Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Arabic
العَرَبِي (Arabic)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Bengali
বাংলা (Bengali)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Chinese
中文翻譯 (Chinese)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - French
Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Haitian Creole
Tradiksyon kreyòl ayisyen (Haitian Creole)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Italian
Traduzione italiana (Italian)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Korean
한국어 번역 (Korean)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Polish
Polski (Polish)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Russian
Перевод на русский язык (Russian)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Spanish
Traducción al español (Spanish)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Urdu
اردو (Urdu)Authorization and limited consent to comply with federal reporting requirements.
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Release of Behavioral Health Information (TRS-61) - Yiddish
אידיש (Yiddish)Authorization and limited consent to comply with federal reporting requirements.
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