Difference between revisions of "Josh release form"
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(added David G. Caron; updated links; removed Alternative Life Programs because I don't remember who they are) |
(moved "validity" text to bottom and improved it) |
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[[category:Josh]][[Josh]]: [[Josh release form|release form]] | [[category:Josh]][[Josh]]: [[Josh release form|release form]] | ||
==Release Form== | ==Release Form== | ||
The following entities and their agents have our permission to discuss details of Josh A Smith's case with each other, effective today – {{CURRENTMONTHNAME}} {{CURRENTDAY}}, {{CURRENTYEAR}} – and good for 60 days from this date: | The following entities and their agents have our permission to discuss details of Josh A Smith's case with each other, effective today – {{CURRENTMONTHNAME}} {{CURRENTDAY}}, {{CURRENTYEAR}} – and good for 60 days from this date: | ||
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[[Image:SLH Josh release form signature.jpg|400px]] | [[Image:SLH Josh release form signature.jpg|400px]] | ||
==Validity== | |||
Note that this page, unlike most other pages in the wiki, is protected against editing by untrusted visitors. If you are on the above list and have concerns about the validity of this release, we will be happy to send you a signed physical copy of it or of your preferred release form. | |||
Latest revision as of 19:20, 4 March 2010
Release Form
The following entities and their agents have our permission to discuss details of Josh A Smith's case with each other, effective today – April 20, 2024 – and good for 60 days from this date:
- Caring Hands & Supplementary Enrichment Education
- Community Partnerships
- David G. Caron (of Chapel Hill, NC)
- Durham County Government Department of Social Services
- Durham Public Schools
- TEACCH
- The Autism Society of North Carolina
- The Durham Center
- The Arc of Durham County
- The Arc of North Carolina
- Triangle Neuropsychiatry
- Matchbox Health Services
- Maxim Healthcare Services
Validity
Note that this page, unlike most other pages in the wiki, is protected against editing by untrusted visitors. If you are on the above list and have concerns about the validity of this release, we will be happy to send you a signed physical copy of it or of your preferred release form.