Get Consent To Share Information Form

Filling out the Consent To Share Information Form is an important step in enabling effective collaboration between various agencies that support individuals and families. This guide will provide you with clear instructions on how to complete the form online, ensuring your information is shared appropriately and securely.

Follow the steps to fill out the Consent To Share Information Form online.

1. Press the ‘Get Form’ button to access the Consent To Share Information Form and open it in your preferred editor.
2. Begin by entering the client or student information. Fill in the name, parent or guardian details, date, address, city, state, zip code, telephone number, birthdate, and email address.
3. Review the Consent section carefully. You will be granting permission for information sharing. Make sure you understand that this information will be used for service coordination and planning.
4. In the Consent section, identify the agencies or organizations allowed to access your information. Check all relevant boxes and write the name of any additional entities not listed.
5. Indicate the records and information you authorize for sharing by checking the appropriate boxes, such as name, address, educational experience, and training or employment info.
6. If applicable, fill out the Special Records section to disclose sensitive information such as HIV/AIDS and mental health records. Remember, you must check the relevant boxes.
7. Sign and date the form to validate your consent. If you are signing on behalf of someone else, indicate your relationship.
8. Finally, review your entries for accuracy and completeness. You can then save your changes, download, print, or share the completed form as per your requirements.

Start filling out your Consent To Share Information Form online today.