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Authorization for Release and Disclosure of Developmental Screening Results - Vermont
Authorization for Release and Disclosure of Developmental Screening Results is a legal document that was released by the Vermont Department of Health - a government authority operating within Vermont.
FAQ
Q: What is the purpose of the Authorization for Release and Disclosure of Developmental Screening Results?
A: The purpose of this form is to authorize the release and disclosure of developmental screening results.
Q: Who needs to sign this form?
A: The form needs to be signed by the parent or guardian of the child being screened.
Q: What information does this form authorize the release and disclosure of?
A: This form authorizes the release and disclosure of the child's developmental screening results.
Q: Who can the child's developmental screening results be disclosed to?
A: The screening results can be disclosed to authorized early intervention or special education programs.
Q: Is this form required in Vermont?
A: Yes, this form is required in Vermont for the release and disclosure of developmental screening results.
Form Details:
- Released on December 1, 2016;
- The latest edition currently provided by the Vermont Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Vermont Department of Health.
