Select this resource

Consent for Exchange of Information

Resource Type

Parent Handouts and Info - Parent

Description

General consent form for sharing medical, school, mental health or psychological testing information that includes the required legal disclosures. This form may not be acceptable to all agencies, however, and site specific forms may be needed. Schools tend to be less stringent than mental health providers.

Ages

All Ages

Age Groups

Infancy (<1), Toddlerhood (1-3), Preschool/Kindergarten (3-5), School Age (6-12), Adolescence (13-21), Adulthood (22+)

Web Address

http://resources.childhealthcare.org/resources/CONSENT_FOR_EXCHANGE_OF_INFORMATION.pdf

Languages

English

Back to Previous screen.