Do you want someone to have access to your case with TOC and have the ability to collaborate with your supporters? Submit an ROI! A Release of Information is a simple way for you to give permission to share your personal information and details about your care with others to create a seamless flow of support and a team that works together to help you thrive and succeed
This form tells us exactly what information you want shared, who it will be shared with, and why. This helps us protect your privacy while ensuring your information gets to the right place when needed. We always need signed consent to coordinate care with third-parties such as family, friends, medical providers, and other organizations to ensure we remain HIPAA Compliant with your private information
To submit digitally: Download the official TOC ROI below to fill out, then email to admin@theopportunityclubinc.com
To submit physically: Print out the form below and mail or submit in-person at our TOC Office, located at 10175 SW Barbur Blvd, Suite 116B, Portland, OR 97219
If you have any questions, please fill out the contact form below and we will be with you as soon as we can to assist you. Thank you for trusting TOC with your care!