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  • About
    • Background
    • History
    • Mission
    • Leadership
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    • FAQ
  • Services
    • Autism Center of Excellence
      • Complex Behavior
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    • Infant and Early Childhood
    • Outpatient Services
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      • Respite Program
      • Transition Age Youth
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  • Employment
  • Contact
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    • News
  • Forms
    • General Forms
    • Referral Forms
      • Touchstone Referral
      • School Referral
  • Patient Portal
  • About
    • Background
    • History
    • Mission
    • Leadership
    • Funding and Member Resources
    • FAQ
  • Services
    • Autism Center of Excellence
      • Complex Behavior
      • Language & Learning Center
      • Resources
    • Infant and Early Childhood
    • Outpatient Services
      • Prevention
      • Respite Program
      • Transition Age Youth
      • Whatever It Takes
    • School Based Services
  • Employment
  • Contact
    • Consents
    • News
  • Forms
    • General Forms
    • Referral Forms
      • Touchstone Referral
      • School Referral
  • Patient Portal
  • About
    • Background
    • History
    • Mission
    • Leadership
    • Funding and Member Resources
    • FAQ
  • Services
    • Autism Center of Excellence
      • Complex Behavior
      • Language & Learning Center
      • Resources
    • Infant and Early Childhood
    • Outpatient Services
      • Prevention
      • Respite Program
      • Transition Age Youth
      • Whatever It Takes
    • School Based Services
  • Employment
  • Contact
    • Consents
    • News
  • Forms
    • General Forms
    • Referral Forms
      • Touchstone Referral
      • School Referral
  • Patient Portal

English

Espaรฑol

Release of Information (ROI) Instructions
Instrucciones para el formulario de autorizaciรณn para la divulgaciรณn de informaciรณn (ROI, por sus siglas en inglรฉs)
Transfer ROIs
Transferencia de ROIs
ROI Authorization Form
Formulario de autorizaciรณn de ROI
Confidential Records Disclosure Authorization
Autorizaciรณn confidencial de divulgaciรณn de registros

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15820 North 35th Avenue
Phoenix, AZ 85053

Phone: 866.207.3882

Equal Opportunity Employer

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