Pennsylvania Medical Assistance Billing Parental Consent: Farsi
  Effective Date:October 1, 2016 | Topics: 
    
     This form, Farsi version, allows parents to choose whether to give consent for the Local Educational Agency (LEA) to access reimbursement from Medical Assistance for special education services.
    
         Age:Preschool,Infant/Toddler 
      Language:Farsi