To submit the Student Records Release Consent Form, you can either email it to the relevant school's administration office, fax it to the designated number provided by the school, or submit it through the school's online submission form if available. Alternatively, you may also mail the completed form to the school's physical address. It is advisable to contact the school's administration office for specific submission instructions and to confirm receipt of the form.

The form is typically valid for one calendar year from the date of signed consent. Make sure to complete and submit the form at the beginning of the school year to avoid delays in record processing.

The purpose of the Chicago Public Schools Student Records Release Consent Form is to authorize the release, exchange, and disclosure of student records between various authorized entities. This can include but is not limited to school records, health records, special education records, and other identifying information. By completing this form, parents and guardians ensure that student records are shared only with appropriate and authorized parties to facilitate educational planning, health assessments, and other necessary evaluations.

• 1. Student's Name: The full name of the student whose records are being released/exchanged.
• 2. Date of Birth: The birth date of the student.
• 3. Records to be Released: Options to select all school student records or specific records such as personally identifying information, cumulative/permanent record, disciplinary records, etc.
• 4. Health/Medical Information: Any and all records in the possession of medical providers, including mental health, HIV, and/or substance abuse records.
• 5. Agencies/Schools: Information on the agencies or schools involved in the release/exchange of records.
• 6. Purpose: The reason for disclosing the information, such as educational evaluation and program planning, health assessment and planning, etc.
• 7. Signatures: Sections for parent, student (if applicable), and witness signatures.

Failure to submit the Student Records Release Consent Form may result in delays or obstacles in the student's educational programming or medical treatment.

• Educational Delays: Without the release of records, necessary educational evaluations and program plans may be delayed.
• Medical Treatment: Failure to share health records could hinder medical providers from delivering appropriate care.
• Placement Issues: Special education or day school placements may be impacted if records are not exchanged in a timely manner.
• Non-Compliance: Schools may face compliance issues with state and federal regulations if records are not properly released.
• Parental Frustration: Lack of necessary records can lead to parental frustration and challenges in managing the child's education and health.

• 1. Transferring Schools: When a student moves to a new school and records need to be transferred.
• 2. Medical Evaluations: When medical professionals require access to student health records for evaluations or treatments.
• 3. Special Education Planning: When planning special education services and need access to previous evaluations and IEPs.
• 4. Educational Assessments: When completing educational assessments and evaluations to plan appropriate programs.
• 5. Legal Purposes: When records are required by legal representatives for case management.