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Ridgecrest Intermediate School

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Counseling Department » Release of Information

Release of Information

Parents/Guardians may complete this form to consent to allowing a school personnel (counselor, psychologist, teacher, and/or administrator) communicate with their student's outside provider (psychologist, psychiatrist, therapist, medical doctor, tutor, etc.). This Authorization for Exchange of Information form must be completed and submitted to the Ridgecrest Office prior to the communication/exchange of information between two parents. Without a parent/guardian consent for exchange of information, school personnel may not communicate with an outside/third party of confidential student educational records.