Get Consent To Release Information Montgomery County

Filling out the Consent To Release Information form for Montgomery County is an important step in facilitating communication between agencies for your child's benefit. This guide will walk you through each section of the form to ensure that you complete it accurately and effectively.

Follow the steps to fill out the form successfully

1. Click the ‘Get Form’ button to access the document and open it in your preferred editor.
2. In Section I, enter your child's name clearly in the designated space provided.
3. Proceed to Section II, where you will find a brief introduction about the purpose of the form, which is to allow other agencies to share pertinent information about your child.
4. In the Identification of Child section, print your child's date of birth in the area provided.
5. Carefully read the consent statement regarding the sharing of information among relevant public agencies. It is crucial to understand that this authorization ensures that your child receives coordinated services.
6. Fill in your name and the date by entering your name where indicated and writing the current date.
7. Select the agencies from which you authorize information to be shared about your child by checking the corresponding boxes. Ensure you include any other relevant agencies in the section labeled 'Other agency/facility/doctors/schools that can give information to help the child.'
8. In the 'Information Being Requested' section, check all applicable boxes to specify what information you wish to have shared among the agencies.
9. For the 'Purpose of Request' field, confirm that it is for planning appropriate services for your child to be maintained in the least restrictive environment.
10. Finally, sign the form as the parent or guardian in the space provided for authorization.
11. Once finished, you can save any changes made, download or print the form for your records, or share it as necessary.

Take the next step towards helping your child by filling out the Consent To Release Information form online today.