North Star Behavioral Health – Digital Hub

Complete the appropriate release form below:

For Adults

Authorize release of information for adult patients.

For Children Under 12

Parents or guardians can complete this form for children 11 and younger.

For Parents of Adolescents 12–17

Parental authorization for release of information for adolescents.

For Adolescents 12–17

Adolescents may provide assent for release of their information.