TO PERSON RECEIVING THE CONFIDENTIAL INFORMATION:
PROHIBITION OF REDISCLOSURE
Federal and state law protects the confidentiality of the information disclosed to you related to the individual’s mental health or alcohol and drug abuse treatment. Federal regulations (42 CFR Part 2) prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the
written consent of the person to whom it pertains, or as otherwise permitted by such regulations.
Disclosure is limited to the purpose and persons included in the authorization form. The Federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient. State laws may also protect the confidentiality of the client’s records.