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INDIVIDUAL SCHOOL COUNSELING AND GROUP COUNSELING INFORMED CONSENT
PLEASANT VALLEY SCHOOL DISTRICT
Pleasant Valley School District offers short term individual and group counseling to students.
Parents/guardians
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How to fill out school counseling release form
How to fill out school counseling release form
01
Obtain a copy of the school counseling release form from your school or counseling office.
02
Read the instructions and information provided on the form carefully to understand what information is being released and to whom.
03
Provide your personal details such as name, student ID or other identifying information as required.
04
Indicate the specific purposes or individuals you are authorizing to access your counseling records.
05
Sign and date the form, indicating your consent for the release of your counseling information.
06
Make a copy of the completed form for your records.
07
Submit the form to the appropriate school or counseling office as instructed.
Who needs school counseling release form?
01
School counseling release forms are typically needed by students who wish to authorize the disclosure of their counseling records to specific individuals or organizations.
02
This could include situations where a student wants to share their counseling information with a college or university during the application process, with a potential employer during job interviews, or with healthcare professionals involved in their treatment.
03
In some cases, parents or legal guardians may also need to fill out a counseling release form on behalf of a minor student.
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What is school counseling release form?
A school counseling release form is a document that allows a school counselor to share a student's personal information and educational records with authorized individuals, such as parents, other schools, or healthcare providers, while ensuring compliance with privacy regulations.
Who is required to file school counseling release form?
Typically, parents or legal guardians of a student are required to file the school counseling release form, especially when the student is under the age of 18.
How to fill out school counseling release form?
To fill out the school counseling release form, provide the student's name, date of birth, contact information, specify the information to be shared, list the individuals or entities allowed to receive the information, and sign and date the form.
What is the purpose of school counseling release form?
The purpose of the school counseling release form is to grant permission for school counselors to disclose relevant information concerning a student's educational and emotional well-being to designated parties, thereby facilitating support for the student's needs.
What information must be reported on school counseling release form?
The school counseling release form must report the student's personal information, the specific data to be shared, the recipients of this information, and the duration of consent for the release of information.
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