Practice Management Forms
Release of Information Forms & Information
These sample authorization forms were developed to contain the core elements required by the Federal Privacy Rule, as well as content considered most useful to Oregon psychologists. They have been reviewed by OPA’s attorney, Paul Cooney, and are compliant with federal and state law as of March 2011. Please review the "Comments and Information" sheet before using these forms in your practice. Comments and Information Regarding Use of the Forms - click here
Adult Release of Information Form
click here for the form in PDF
click here for the form in Word