Permission for Release
To facilitate integrated service for your child. We recommend that copies of evaluations and other written reports be shared with other professionals in your child’s life (i.e. teacher, pediatrician, psychologist, tutor, etc.). It is important for us to be able to maintain good communication with people working with your child. This release would remain in effect for one year and authorizes the clinic to send your child’s written reports and/or have verbal conversations to/with outside professions.