OCFS-3445. Children’s Services Release of Confidential Information
Form OCFS-3445, Children’s Services Release of Confidential Information, is a form used by the New York State Office of Children and Family Services (OCFS) to provide authorization for the release of confidential information related to child-related services.
This form is used by parents, guardians, legal representatives, or other individuals authorized to act on behalf of children who are involved in OCFS-related services. The form is used to authorize the release of confidential information such as medical records, psychological evaluations, and other information related to the child's services. It also allows for the release of information to third parties such as schools, medical providers, or other authorized individuals.
The form consists of several sections, including a description of the information to be released, the name of the person or organization receiving the information, and the purpose of the release. It also requires the signature of the party authorising the release, the date of the signature, and the name of the agency or individual releasing the information. Additional sections may be present, such as a section for the parent or guardian to indicate their consent to the release of the information.
Important fields in this form include the name of the person or organization receiving the information, the purpose of the release, and the signature of the party authorising the release. Instructions for completing the form are included in the form itself, and it is important that all information is filled out correctly to ensure that the information is released to the correct recipient. It is also important to ensure that the release is valid and meets all legal requirements.
An example of when this form would be used is when a parent or guardian of a child receiving services from OCFS wishes to authorize the release of confidential information to a school or medical provider. The form allows the parent or guardian to specify the type of information to be released, who will receive the information, and why the information is being released. The form also ensures that the release is done in a secure and legal manner.
No additional documents are needed when filling out this form, but other forms may be necessary depending on the situation. For example, a separate form may be needed if the parent or guardian wishes to authorize the release of confidential information to a third party such as a lawyer. Alternatives to this form include other forms that may be used for similar purposes, such as the OCFS-3444 Release of Information by Agency.