Release of Information
This form is used for to authorize the release of information including, educational, assessment, and therapy documentation, as well as verbal communication regarding your child. This information is to be used for diagnostic and treatment planning purposes only. Please download and fill in the appropriate information. You may fax or deliver the completed form to our office for processing.
| Attachment | Size |
|---|---|
| Consent for Release of Information.pdf | 56.16 KB |