DMHAS Client Release of Information Forms

• Capitol Region Mental Health Center    
• Capitol Region Mental Health Center (Spanish)
  
  
• CT Mental Health Center
• CT Mental Health Center (Spanish)
      
• CT Valley Hospital/Blue Hills Hospital (Eng & Span)
  
  
• Office of the Commissioner
• Office of the Commissioner (Spanish)
  
  
• Office of Forensic Evaluations Client Release Form- Bridgeport 
• Office of Forensic Evaluations - Hartford
• Office of Forensic Evaluations - Middletown  
• Office of Forensic Evaluations - Norwich   

• River Valley Services (Eng & Span)
  
  
• Southeastern Mental Health Authority
• Southeastern Mental health Authority (Spanish)
  
  
• Southwest CT Mental Health System (Eng & Span)
  
  
• Western CT Mental Health Network
• Western CT Mental Health Network (Spanish)

• Whiting Forensic Hospital
• Whiting Forensic Hospital (Spanish)