Release of Information
Step 2 of 3 — all three forms are required for us to work with you as your independent facilitators.
This authorization lets us speak and coordinate with your Regional Center and providers on your behalf, so we can advocate for your family throughout the SDP process.
Download PDFPrefer to print it? Download the form, fill it out by hand, and bring it to your consultation or email it back to us.
Finished this form?
Check it off to keep track of your progress. This is just for you — it doesn’t submit the form.

Stuck on a question?
Reach out any time — we're happy to walk you through any of the forms. We respond within 1-3 business days.