| Assigned Number | Title | Release Date Sort ascending | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-00632 | Birth to 3 Program System of Payments - Consent to Access Insurance and Authorization to Release Information | 11/12/2019 | English | No | |
| F-00632S | Birth to 3 Program System of Payments and Consent to Access Private Insurance and Medicaid, Spanish | 11/12/2019 | Spanish | No | |
| F-00632S | Birth to 3 Program System of Payments and Consent to Access Private Insurance and Medicaid, Spanish | 11/12/2019 | Word | Spanish | No |
| F-00632 | Birth to 3 Program System of Payments - Consent to Access Insurance and Authorization to Release Information | 11/12/2019 | Word | English | No |
Last revised May 9, 2025