providing mental health &
substance abuse  services for
the people of Alameda County ...  
   

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2000 Embarcadero Cove, Suite 400, Oakland, CA  94606
Phone: (510) 567-8100    Driving Directions

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Release of Information Forms

   

General RoI - use this RoI to release SUD client information to others within the SUD Provider Network. Every client must sign this release. Click below to see this release in 7 threshold languages. NEW 12/10/18
Emergency Contact RoI - use this RoI to release SUD client information to an emergency contact. Click below to see this release in 7 threshold languages. - NEW 12/10/18
Criminal Justice RoI - use this RoI to release SUD client information to court staff, probation officers, Drug Court, etc. Click below to see this release in 7 threshold languages. - NEW 12/10/18