Admissions Resources

George Junior Republic in Pennsylvania

Admissions Resources:

Parent/Guardian Information Guides

Parent/Guardian Information Guide (English)

Guía de información para padres/tutores (español)

Admission Consent Packet (English)

Form A - Parent/Guardian Information Guide Acknowledgement

Form B - Placing Agency Case Planning Acknowledgement

Form C - Family Visitation Authorization

Form D - Medical Consent

Form E - Behavioral Health Consent

Form F - Media and Photography Consent

Form G - Confidential Health Information Consent/Release

Paquete de consentimiento de admisión (español)

Formulario A - Reconocimiento de la guía de información para padres / tutores

Formulario B - Reconocimiento de planificación de caso de agencia de colocación

Formulario C - Autorización de visitas familiares

Formulario D - Consentimiento médico

Formulario E - Consentimiento de salud conductual

Formulario F - Consentimiento de medios y fotografía

Formulario G - Consentimiento para divulgar información confidencial de la salud

Consent forms can be completed and sent to [email protected] or to the GJR in PA liaison assigned to your region or county.
Please note, consent forms must be submitted to GJR in PA prior to a youth’s admission and must be current.

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