Authorization for Verbal Release of Confidential Information

Due to privacy laws we are unable to confirm or deny a students presence within the Partners in Access to College Education (PACE) program without the consent of the student or, if a minor, the consent of his/her parent or guardian (this includes scheduling appointments).  To grant consent to the PACE ​program please download and complete the Verbal release of information.pdf​

This in an inner office form only, please use the Disability Documentation Form.pdf​ if you are requesting documentation from a medical professional.  ​​​​