Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN)

Assigned Number Title Release Date Sort ascending File Type Language Available to Order
F-01238 Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN) 11/15/2023 PDF English
F-01238S Consent to Release Medical Information Referral to a Children’s Resource Center for Children and Youth with Special Health Care Needs (CYSHCN), Spanish 11/15/2023 PDF Spanish

Glossary

 
Last revised November 21, 2024