{"id":1295,"date":"2026-07-08T16:08:01","date_gmt":"2026-07-08T16:08:01","guid":{"rendered":"https:\/\/dev-hope-council-2026.pantheonsite.io\/?page_id=1295"},"modified":"2026-07-28T15:08:16","modified_gmt":"2026-07-28T20:08:16","slug":"divulgacion-de-informacion","status":"publish","type":"page","link":"https:\/\/www.hopecouncil.org\/es\/contact\/forms-portal\/release-of-information\/","title":{"rendered":"Divulgaci\u00f3n de informaci\u00f3n"},"content":{"rendered":"

Records & Consent<\/h6><\/div>

General Release of Information<\/h2><\/div>

Authorize Hope Council to release \u2014 or exchange \u2014 your records with a court, the Wisconsin DOT, an attorney, or another provider you name. This is the Wisconsin DHS release authorization (Form F-82009); you choose what is shared, with whom, and for how long.<\/p>\n<\/div><\/div><\/div>

Forms Portal<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
What this form does<\/h5><\/div>

This is the Wisconsin Department of Health Services Confidential Information Release Authorization (Form F-82009). Completing it authorizes Hope Council to release \u2014 or exchange \u2014 the records you check below with a person or organization you name, such as a court, the Wisconsin DOT, an attorney, or another provider. Signing is voluntary and refusal will not affect treatment, payment, enrollment, or benefits \u2014 except that clients seeking county funding must sign to be eligible. You may revoke it in writing at any time, except for information already released.<\/p>\n<\/div><\/div><\/div><\/div><\/div>

Confidential Information Release Authorization<\/h5><\/div>

Wisconsin DHS Form F-82009. Complete every required field; a separate release is used for each party you exchange records with.<\/p>\n<\/div>