Foundation for Foster Children
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      • Robert Newkirk
      • Shakira McGowan
      • Raquel Tapia, MNM, MPA
      • Helen Preston
      • Kyle Curran, MHA
      • Wendy Berghane
      • Lauren Ragan
      • Patricia Ragin
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      • Celeste Hankins
      • Sejal Patel
      • Keith Coker
      • Holly J. Greer
      • Michelle Chira
      • Laura Eidson-Cosgrove
      • Lamont Jackson
      • Lara Lee
      • Marsha Robbins
      • Jennifer Spooner
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      • Alison Yurko
      • Mark Tjernagel
      • Kimberly Baxter
      • David Varet
      • Bernadette Rampersad
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    Consent to Services

    This consent to services form grants permission to the Foundation for Foster Children to provide services and release information to necessary parties for the implementation of services.
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  • Media/Photo Consent Form and Testimonies

    This consent and release form grants permission to Foundation for Foster Children for the use of testimonies, photograph(s) or electronic media images. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time archived. Media/Photo/Testimonies consent forms and release will expire may 1st of 2024, unless:

    *Child turns 18, new consent form will be required

    *Change in placement for children under 18, new consent form will be required with current legal guardian signature.

    *Legal guardian/child/young adult choices to withdraw their consent for any reasons.

  • MM slash DD slash YYYY
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    If the picture/testimony is of a minor, child permission to use the material must be provided by a parent, caregiver, IL Specialist/TSS, Case Manager/Caregiver Support, or GAL
  • Please type first and last name
  • Foundation for Foster Children Photo/Testimony Release

Phone: 407.422.4615 | Fax: 407.422.3668
2265 Lee Rd Suite 203, Winter Park, FL 32789
Email: info@foundationforfosterchildren.org

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