Template: Consent for Uses and Disclosures of Part 2 Records

42 CFR Part 2 (“Part 2”) permits uses and disclosures of protected records with the prior written consent of the patient. This Template Consent provides a framework that Part 2 programs and others may adapt when creating consents authorizing uses and disclosures of Part 2-protected records.

This template reflects the 2024 Final Rule’s amendments to Section 2.31 of 42 CFR Part 2, which took effect on April 16, 2024 with a compliance date of February 16, 2026, as well as the HIPAA Privacy Rule’s requirements for authorizations in Section 164.508 of 45 CFR Part 164.

This resource was authored by: Jacqueline Seitz, JD

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