A client who recently turned 18 has an ROI that expired. What should you do?

• A. Do nothing
• B. Sign for the client on their own ROI but it's not valid
• C. Extend the old ROI
• D. Obtain a new ROI with the client, as they've aged into adulthood and can now sign for themselves.

Answer: (D)

When a client becomes an adult, they must personally authorize the release of their information. The Release of Information (ROI) is a signed consent that allows sharing data, and it is only valid if the adult signs it. Since the client recently turned 18 and the previous ROI has expired, you need a new ROI signed by the client themselves to continue sharing information. You can’t sign for them, and you can’t extend the old form, because it no longer reflects the adult’s consent. Do nothing would violate confidentiality and consent rights. So, present the new ROI to the client, ensure they understand what will be shared and with whom, obtain their signature, and document the process. If the client needs help understanding (language, literacy, etc.), provide appropriate assistance or involve a legally authorized representative only if there’s no capacity to sign.