Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 356 - FAMILY VIOLENCE PROGRAM
Subchapter B - SHELTER CENTERS
Division 6 - PROGRAM ADMINISTRATION
Section 356.621 - Release of Resident or Nonresident Information Document

(1) name of no more than one person or organization to which the information is being released;

(2) specific information to be released;

(3) beginning and ending dates the release is effective, not to exceed the resident's stay or the nonresident's active length of services;

(4) date and the signatures of the resident or nonresident and the employee or volunteer; and

(5) right to revoke a release of information at any time. This revocation request must be submitted in writing.