Consent to Release Information

“The road to success is always under construction.”
~ Arnold Palmer

There are many circumstances where you may need to speak directly with other practitioners who work with your clients, either to help with your work or theirs. Other practitioners could include other Therapists, Doctors, Psychiatrists, Naturopaths, Massage Therapists, Lawyers, etc.

It is important to make sure that you have explicit permission from your client to speak to others about your work together and be very clear about what they are giving you permission to discuss or disclose.

Check with your client if there are any things they do not want you to share.

Attached is a basic Consent to Release Information form that can be used if your client would like you to share information with someone else, or if they would like someone else to share information with you, or both.

You may want to use the form as is, or separate it out into two different versions.

Make sure you retain a copy of the form, and document the conversation or information exchange in your clients file.

Template –>Consent to Release Information