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Who do you want Grand Island Mental Health & Medical Clinic to release information to or receive information from?
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The name of the company/person that you are authorizing to receive or communicate information, NOT Grand Island Mental Health.
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United States
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Algeria
American Samoa
Andorra
Angola
Anguilla
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Argentina
Armenia
Aruba
Australia
Austria
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Turkey
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Ukraine
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Uruguay
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Vanuatu
Vatican City
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US Virgin Islands
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5
Institution Phone Number
Area Code
Phone Number
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6
Provider Name
Debra Erickson
Jordan Hoffman
CeCe Bacon
Cindy Betka
Sara Gasper
Dave Hoyt
Chantal Kohl
Cheryl Lockett
Suzanne Riley
Laurie Robinson
Deborah Thimsen-Villa
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7
Would you like all information released FROM Grand Island Mental Health?
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Ex: discharge summary, medications, alcohol/drug assessment, intake assessment, physiological evaluation, clinical notes, recommendations, referral information, verbal information.
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NO
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8
Release this information FROM Grand Island Mental Health:
Discharge Summary
Medications
Alcohol/Drug Evaluation
Intake Assessment
Physiological Evaluation
Clinical Notes
Recommendations
Referral Information
Verbal Information
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Would you like all information to be released TO Grand Island Mental Health?
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Ex: discharge summary, medications, alcohol/drug assessment, intake assessment, physiological evaluation, clinical notes, recommendations, referral information, verbal information.
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NO
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10
Release this information TO Grand Island Mental Health:
Discharge Summary
Medications
Alcohol/Drug Evaluation
Intake Assessment
Physiological Evaluation
Clinical Notes
Recommendations
Referral Information
Verbal Information
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11
The purpose of exchanging information is
Coordination of Services
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12
This consent is active for duration of treatment or until terminated by client.
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13
Signature of Patient/Guardian
Clear
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14
Today's Date
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