Get Disability Support Services: Consent For Release Of Information

Filling out the Disability Support Services: Consent For Release Of Information form is an essential step in ensuring that your educational and vocational needs are addressed appropriately. This guide will help you navigate the form step-by-step, providing clarity and support throughout the process.

Follow the steps to complete your consent form effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In the first section, provide your name by entering your first, middle (if applicable), and last names in the designated fields. Ensure accuracy as this will be used for identification purposes.
3. Enter your NOVA Student Number (NOVA Student #). This unique identifier will help the Disability Support Services office link your information correctly.
4. Fill in your date of birth in the format MM/DD/YY. This information is crucial for verifying your identity.
5. If applicable, provide your maiden name or any other name previously used in the last name field.
6. Select your campus of record by checking the appropriate campus option (AL, AN, LO, MA, WO, MEC). Ensure you choose the campus that corresponds to your enrollment.
7. Review the statement regarding your consent for the release of information. If you agree, ensure you accurately understand that all provided information will be held confidentially.
8. Choose the specific types of records you want to authorize for release by checking all applicable options from the list provided (e.g., Medical Reports, Learning Disability Assessment Reports).
9. Acknowledge that the Disability Support Services Counselor(s) may discuss your educational situation with other professionals who have a legitimate need to know.
10. Indicate how long you would like the authorization to remain in effect by noting the date or specifying the two-year limit. This is important for your records and preferences.
11. Sign the form in the section labeled 'Signature of Student,' ensuring your signature matches the name provided.
12. If you are under 18 years of age, have your parent or guardian sign the form in the designated area labeled 'Signature of Parent/Guardian.'
13. Finally, review all entries for accuracy. Once everything is complete, you can save changes, download, print, or share the form as needed.

Start filling out your Disability Support Services: Consent For Release Of Information form online today to ensure your needs are met effectively.