How to Authorize Release of Information 

What do you do if a church member is seeing a professional counselor, psychiatrist, or medical doctor, and also seeing you as a pastor or church-based counselor? 

How do you request information so that you can best help those under your shepherding care? 

Or, how do you craft a statement if a parishioner wants you to send information on your counseling to another professional care-giver? 

In Equipping Counselors for Your Church, I provide two helpful one-page release forms: 

• Authorization for Release of Information. 

• Authorization to Release Information. 

Click here for a free copy of each sample form 

More Resources 

For more information about Equipping Counselors for Your Church, including over two dozen free resources, click here 

Join the Conversation 

What forms do you currently use to give and receive professional care-giving information?

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