Forms

Release of Information

Affidavit of Enrollment (DR 2643)

A Turning Point follows state and federal rules and guidelines regarding the release of client information. In order for A Turning Point to release any records to anyone, other than the client, A Turning Point must have a valid release of information on file.

To complete the Release of Information, click on the link below. Please attach a scanned or photographed copy of your Identification Card or Driver's License.

Release of Information

Affidavit of Enrollment (DR 2643)

Need to provide proof of enrollment and attendance in Level II DUI/DWAI treatment to the Colorado Department of Revenue to get your license; complete the Affidavit of Enrollment (DR-2643) below.

Once completed, our office will send a finalized copy of the Affidavit of Enrollment to the Colorado Department of Revenue and to the client.

Affidavit of Enrollment

DRS Request Form

The Colorado Behavioral Health Administration (BHA) collects and stores all Level II DUI/DWAI treatment records. If you are in need of documentation of any attended or completed Level II DUI/DWAI treatment, complete the DRS Request Form below.

DRS Request Form

Records Request

DRS Request Form

If you are needing to request client treatment records for yourself or for a client, complete the Records Request Form below. Once received, and a Release of Information is verified to be on file, the requested records will be provided within 48-72 hours.

Please attach any Release of Information and applicable Billing and Invoicing information.

Records Request Form

FILLABLE FORMS

Release of Information

Affidavit of Enrollment (DR 2643)

Affidavit of Enrollment (DR 2643)

Affidavit of Enrollment (DR 2643)

Affidavit of Enrollment (DR 2643)

Affidavit of Enrollment (DR 2643)

DRS Request Form

DRS Request Form

DRS Request Form

Records Request

DRS Request Form

DRS Request Form

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