Parental Consent Form

Verify Your Identity

For your child's privacy, we need to confirm you're their guardian. Please enter your child's date of birth.

Review Consent

Please read the following consent form for 's therapy services.

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Sign Consent

By typing your full legal name below, you agree to the terms of the consent form.

Consent Signed!

Thank you for providing consent for 's therapy services.

Your child will receive an email with instructions to download the TrustRoom app.

Link Expired

This consent link has expired. Please contact your child's therapist to request a new link.

Access Locked

Too many incorrect attempts. For security, this link has been locked. Please contact your child's therapist for assistance.