Consent Form

All schools require written consent from a parent(s) or legal guardian for other parties to obtain any information about your child whether verbal, written or electronically via email. I have provided below a link to a printable version of my consent form. Once completed please provide it to me via email, fax, mail, or you may also drop it directly at your child’s school.  If you are unable to print a copy please phone or email me and I will gladly mail you one. Thank you.

B. Kneeland consent form

Barbara Kneeland
Children’s Health Care
257 Low Street / Upper Level
Newburyport, MA 01950
barbara.kneeland@steward.org
(978) 388-7250
Fax (978) 462-2922