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228-3
228.3 VOLUNTARY DISCLOSURES.
1. An individual eighteen years of age or older or an
individual's legal representative may consent to the disclosure of
mental health information relating to the individual by a mental
health professional, data collector, or employee or agent of a mental
health professional, of a data collector, or of or for a mental
health facility, by signing a voluntary written authorization. The
authorization shall:
a. Specify the nature of the mental health information to be
disclosed, the persons or type of persons authorized to disclose the
information, and the purposes for which the information may be used
both at the time of the disclosure and in the future.
b. Advise the individual of the individual's right to inspect
the disclosed mental health information at any time.
c. State that the authorization is subject to revocation and
state the conditions of revocation.
d. Specify the length of time for which the authorization is
valid.
e. Contain the date on which the authorization was signed.
2. A copy of the authorization shall:
a. Be provided to the individual or to the legal
representative of the individual authorizing the disclosure.
b. Be included in the individual's record of mental health
information. Section History: Recent Form
86 Acts, ch 1082, § 3; 88 Acts, ch 1226, § 6, 7, 9
Referred to in § 228.2, 228.9
