Family Agreement to Consultation and Release of InformationFamily Agreement • July 13th, 2016
Contract Type FiledJuly 13th, 2016As my child’s legal guardian, I authorize my child’s early learning center to exchange information with SUCCESS for the purpose of understanding my child’s social emotional development and behavior. I also consent for consultation services provided by SUCCESS Early Childhood Mental Health Consultants (ECMHCs) that are focused on supporting my child’s social emotional development and behavior.