of the Finger Lakes
|Early Intervention Telehealth Evaluation Consent|
Child's First Name:
This form and CAFL's CONSENT TO RELEASE INFORMATION form must be on file in order to begin Telehealth.
I understand that Telehealth Evaluations as an approved evaluation method is only available during the declared state of emergency for COVID-19.
I understand that Telehealth means that the evaluation will be conducted using an audio and/or video method.
I understand that I will have access to all information resulting from the evaluation(s) conducted via Telehealth in the form written reports.