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Early InterventionSchool District Child Find(Ages Birth to 3rd Birthday)(Ages 3 to 5)Referral and Release Form Early Intervention or School District:Fax: Male Female DOB:Child's Name: Parent(s)/Legal
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A referral and release form is a document that authorizes the release of information from one party to another.
The individual or organization requesting the release of information is required to file a referral and release form.
To fill out a referral and release form, you must provide all requested information accurately and completely.
The purpose of a referral and release form is to allow one party to legally release information to another party as authorized.
The referral and release form typically requires information such as the requesting party's name, contact information, and specific information being released.
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