• About FADAA
  • Agency Members
  • Annual Report [PDF]
  • Executive Committee
  • Mission Statement & Guiding Principles
  • Partners
  • Presidents' Council
  • Staff
• Doing Business with FADAA
  • Membership
  • Marketing Opportunities
  • Job Board
  • Post a Job
• RADAR Resource Center
  • Homestudy (CEUS Online)
  • For Coalitions
  • Library (Books and Videos)
  • Online Resources
  • Practice Improvement / STAR-SI
  • Professional Development
• Resources
  • Advocacy & Government Affairs
  • For Detox Providers
  • Family Intervention Specialists
  • Recovery Home Loan
  • Housing and Community Opportunities
  • Resource Links
  • Medicaid
  • Provider Networks
• Looking for Treatment
  • DCF Directory for Adolescent Treatment [PDF]
  • FADAA Member Provider Directory
  • SAMHSA Treatment Facility Locator
• FADAA On Demand
• Partners
• Recovery Home Loan
• Search FADAA.ORG
• Comments

Detox Shared Forms

Authorization for Exchange of Information between Multiple Providers
This form permits individuals to use a single form for the release of general medical, mental health, substance abuse, and/or legal information to multiple providers, and allows those providers to share specified information among and between them.