I understand that I will be contacted by someone from Starbright Children’s Development Centre by email, and/or phone.
I understand that Starbright’s services are provided at our Centre, at home or via tele-health, based on your child or family
I understand that if Starbright’s sessions are being conducted by tele-health, this includes treatment using interactive audio,
video, or data communications, and that:
Please check off the following:
Please complete information below for all providers for which you give consent.
To provide safe and effective services for your child, Starbright staff may need to request information from, and
share information with, your child’s other service providers. All information is treated as strictly confidential. A
copy of this consent will be sent to all persons/agencies when information is requested from them. Starbright
reports will be sent to the parent(s) and/or guardian(s).