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Authorization to Release Health and Mental Health Information (JV-226)

A parent or legal guardian uses this to authorize the release of the child’s health and/or mental health records to the child welfare agency to make sure that the child receives good services.

Get form JV-226

Effective: July 1, 2013

View JV-226 Authorization to Release Health and Mental Health Information form View JV-226 Authorization to Release Health and Mental Health Information form

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    How-to instructions for Juvenile

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    Juvenile Form Packets
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