Release of Information

The Counseling Center does not disclose any information about a client without his/her written permission. (Please see our Confidentiality Policy.) If you would like someone to be able to communicate with the Counseling Center about your treatment, you must fill out a release of information form. You may come in to the Counseling Center and fill one out or you may print it from this website, fill it out at home and bring it to the Counseling Center, or fax the completed form to us at 410-516-4286.

Release of Information Form