Authorization to Release Information for Infants/Toddlers with Hearing Concerns

Authorization to Release Information for Infants/Toddlers with Hearing Concerns

Effective Date: | Topics: Early Intervention - Infant/Toddler, Deaf – Hard of Hearing
A 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.
Age:Infant/Toddler
Language:English
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