Children's Healthcare of Atlanta Authorization to Release/Obtain Protected Health Information

This consent is necessary for parent/guardian to sign and provide to the Principal/ School Clinic for the purpose of obtaining school related care plans and medical guidance for the care of their child's medical needs while they are in school or attending school sponsored events or activities (i.e. field trips, after-school care, sports, etc.) 

CHOA Release of Information Request dated 8 2022.pdf, 300.14 KB; (Last Modified on April 26, 2023)