| 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 July 12, 2025