Image Not Available

Authorization to Release Information for Infants/Toddlers with Hearing Concerns (SP/EI)

Effective Date:September 28, 2016 | Topics: Deaf – Hard of Hearing, Early Intervention
Description: This is the Spanish version of the standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Download this Form: