CONSENT TO RELEASE SCHOOL INFORMATION
I give my consent to school counselors, teachers, nurses, social workers, and all others working with my child to release records to LifeWise StL and its partner agencies, including information on behavior at school, grades, transcripts, test scores, special education services, notification of suspensions, medical records, etc. I understand that all information given to LifeWise StL and its partner agencies will be restricted and confidential.
There is a separate Release of Information form that will need to be completed. I will complete the Release of Information form granting authorization.