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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM ADMINISTRATIVE ISSUES 11/18 CHAPTER L PAGE 4

include, but is not limited to, a statement specifying the date, event or condition upon which the consent expires.

A Uniform Authorization to Use and Exchange Information also known as the Consent to Exchange Information form is an approved document for obtaining consent to release information. This form is located at https://fusion.dss.virginia.gov 2.3. Release of Records without Consent Records may be release without the individual’s written permission if: • A court of competent jurisdiction has ordered the production of client records and the department, agency or provider does not have sufficient time to notify the client or legally responsible person before responding to the order If a court orders production of client records and consent is not obtained before the release of the client records, the department, agency or provider must make reasonable efforts to provide written notification to the client or legally responsible person within five business days after disclosure. Records may also be released if: • There is a request for research as provided in 22 VAC 40-910- 50.

The Commissioner of the Department for Aging and Rehabilitative Services and his agents shall have the discretion to release non-identifying statistical information. A