[humanser] Urgent: Need a Release of Information Form

[David R. Stayer]

Is this a HIPPA form?  I will try and assist if possible. I am president 
of the Human Services Division.

On 12/29/2010 3:55 PM, Marion Gwizdala wrote:
> Dear All,
> I thought someone on the Human Services list could help me. I am trying to resolve an issue between a guide dog training program and one of their consumers. The program is asserting confidentiality and refusing to speak with me concerning this issue, so I need a release of information form for the consumer to send to them. If anyone has such a form that I could use/edit for this purpose, please send it to me off-list to
>
> President at NAGDU.ORG
>
> Fraternally yours,
>
> Marion Gwizdala, President
> National Association of Guide Dog Users
> National Federation of the Blind
> 813-626-2789
> President at NAGDU.ORG
> HTTP://NAGDU.ORG
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-- 
Each day is a precious gift
David R. Stayer LCSW-R