9 2019 Project WIN Release Form-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Parent or Caregiver Name in the designated field. This ensures that the information is correctly attributed.
  3. Next, fill in the Child’s Name. Make sure to provide the full legal name as this is crucial for identification purposes.
  4. In the Provider/Covered Entity section, confirm that 'Maryland State Department of Education - Early Childhood Mental Health Project' is displayed correctly.
  5. Review and complete the Requested Child Information section, including details such as date of birth, gender, race, ethnicity, and any relevant educational plans (IFSP or IEP).
  6. Sign and date at the bottom of the form to authorize the release of information. Ensure your signature matches your printed name for consistency.
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