Release of Information Form

In order for Fairbanks to speak with anyone or release information concerning the care of a patient, we must have a completed release of information form on file. For professionals such as physicians, probation officers, lawyers and therapists, the Release of Information Form can be very important for the continued care of their clients.

If you are a professional in need of additional information and updates regarding the treatment plan of your client, please download the Consent for Mutual Disclosure form and request your client complete and submit the form.