All information will remain confidential according to the JJAB Privacy Policy unless I have authorized its exchange below, except in the following circumstances: danger of harm to self or others, suspected child or vulnerable-adult abuse or neglect, or court subpoena.
Parent Release of Information: For the purpose of coordination of client resources and services, as the legal guardian and/or custodial parent of above named child, authorize JJAB Resource Specialist to release and to obtain information from regarding said minor child between the Los Alamos JJAB Resource Specialist and the following person(s):
Client Release of Information (if age 18): For the purpose of coordination of client resources and services, I authorize JJAB Resource Specialist to release and to obtain information from the following person(s):