Early Intervention Program Parental Consent to Use E-mail to Exchange Personally Identifiable Information

The Program Parental Consent to Use E-mail to Exchange Personally Identifiable Information form is available in the following languages:

• English (PDF)
• Arabic
• Bengali
• Burmese
• Chinese
• French
• Haitian Creole
• Hindi
• Italian
• Japanese
• Korean
• Nepali
• Polish
• Russian
• Spanish
• Urdu
• Yiddish