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Confidentiality and release of information - Kan. Admin. Regs. § 30-60-47

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Community mental health centers must develop policies and procedures that guarantee the confidentiality of information relating to clinical records. A patient, or alternatively if applicable, a parent, guardian, or other representative may authorize the disclosure of information relating to the patient’s mental health treatment by providing the following:
·         The patient’s name
·         The individual or organization that is the intended recipient of the disclosed information
·         The name of the facility or staff member authorized to make the disclosure
·         The purpose for the disclosure
·         A description of the specific information to be released
·         Information regarding the expiration of the authorization to disclose
·         Information regarding the patient’s right to revoke consent
·         The date
·         The patient’s signature 


Current as of June 2015