FL Local

Authorization for Information Release (Dependency)

Fifteenth Judicial Circuit Court · Juvenile & Dependency

Verified current as of October 27, 2026

Authorization a parent in a Palm Beach County dependency case signs to release alcohol, drug, mental health, and medical records to the court, the Department of Children and Families, and the parties.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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