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Therapy Permission Form

Please complete the form below. Required fields marked with an asterisk *
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As the parent and guardian, I hereby give my permission for my child to participate in the therapy noted above. I understand that St. James Episcopal School will provide a space for my child to work with his/her therapist, but they will not oversee the therapy.  I also understand before the therapist can visit my child the therapist will need to submit to a background check by the Texas Health and Human Services. 

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