Loading…
1 verbatim requirement extracted from media-10335__Drug-Court_Participant-Release-of-Information-for-19th-Judicial-Circuit_V.2_KEB.pdf, across 1 topic.
Nineteenth Judicial Circuit (Indian River, Martin, Okeechobee, St. Lucie). Check the order's own effective and rescission dates before relying on it. Procedural information only; not legal advice.
Verbatim from the order, captured 2026-07-24; whitespace normalised only. No OCR was used anywhere in this chain. EXHIBITS & EVIDENCE • AUTHORIZATION FOR RELEASE, DISCLOSURE, AND TRANSMISSION OF CONFIDENTIAL INFORMATION I, ______________________________, as a participant in the Problem -Solving Court Program, acknowledge that my treatment information is confidential under federal law. Disclosure of this information is governed by Part 2 of Title 42 of the Code of Federal R egulations (CFR), which protects substance use disorder patient records, and Part 164 of Title 45 of the CFR (HIPAA), which governs the security and confidentiality of health records. I understand that unauthorized disclosure is unlawful but that I may voluntarily consent to the release of my information. Consent for Disclosure I, ______________________________, consent to the release of employment, medical, psychiatric, treatment, educational, mental health, and other records necessary for Problem - Solving Court proceedings related to case number(s): ___________________________________________. I also authorize the disclosure of ongoing communications regarding my diagnosis, prognosis, and compliance, including but not limited to: • Assessment results relevant to eligibility, treatment needs, and supervision; • Attendance at scheduled appointments; • Drug and alcohol test results, including attempts to defraud tests; • Progress toward treatment plan goals; • Evidence of symptom resolution and attitudinal improvements; • Compliance with court program requirements, including employment and education; • Adherence to electronic monitoring, curfews, travel, and association restrictions; • Use of authorized medically assisted treatments; • Unauthorized prescriptions for addictive substances; • New arrests or offenses; and • Threatening or disruptive behavior.
AUTHORIZATION FOR RELEASE, DISCLOSURE, AND TRANSMISSION OF CONFIDENTIAL INFORMATION I, ______________________________, as a participant in the Problem -Solving Court Program, acknowledge that my treatment information is confidential under federal law. Disclosure of this information is governed by Part 2 of Title 42 of the Code of Federal R egulations (CFR), which protects substance use disorder patient records, and Part 164 of Title 45 of the CFR (HIPAA), which governs the security and confidentiality of health records. I understand that unauthorized disclosure is unlawful but that I may voluntarily consent to the release of my information. Consent for Disclosure I, ______________________________, consent to the release of employment, medical, psychiatric, treatment, educational, mental health, and other records necessary for Problem - Solving Court proceedings related to case number(s):
Reviewer note: Document sha256: e1ddbcdf334937c818bd666491e5c16fd04e2b378edeeb667399a6d7c25388a0. One rule per order rather than per topic, so an order's requirements stay together. Published during the completeness pass. | Title normalised 2026-07-26 for readability; the court's own asset name was "19th Cir. — media-10335__Drug-Court_Participant-Release-of-Information-for-19th-Judicial-Circuit_V.2_KEB.pdf: published requirements". Only the display title changed — the requirement text, source URL and hash are untouched.
Judge Miller: exhibits for remote hearings must be premarked and physically delivered (U.S. mail or courthouse drop box) at least three business days out or they are not considered — e-mailed exhibits are refused, and evidentiary hearings are never remote.
2 verbatim requirements published by Palm Beach Division FC on exhibits.