CONSENT AND RELEASE FOR DISCLOSURE OF MEDICAL INFORMATION I have filed a charge of discrimination with the Illinois Department of Human Rights (IDHR) related to my following medical condition(s).

First Page		Document Content
Date: 2014-02-21 14:53:03 Consent Disability Educational psychology Population		CONSENT AND RELEASE FOR DISCLOSURE OF MEDICAL INFORMATION I have filed a charge of discrimination with the Illinois Department of Human Rights (IDHR) related to my following medical condition(s). Add to Reading List Source URL: www2.illinois.gov Download Document from Source Website File Size: 234,98 KB Share Document on Facebook