Common Contracts
1 similar Individual Service Contract contracts
Name of Program AddressIndividual Service Contract • February 1st, 2024
This notice accompanies a disclosure of information concerning a court alcohol and drug program client that is made to you with the client’s consent. This information has been disclosed to you from records that are protected by Federal confidentiality rules (42 C.F.R. Part 2). The Federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. The Federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse client.
