Drug Offender Education Program Form
I, {name} (client) hereby give my consent to On The Road Again DOEP, whether Probation, Parole or the private sector, to exchange any and all information regarding me and my treatment progress. This release covers all forms of information exchanged whether verbal or written. At any time I may restrict or cancel this release in writing effective upon receipt by: On The Road DOEP or any referring party. Otherwise this will expire one year from the date signed.