As of March 18, 2013, the following forms are provided for obtaining Parental Consent to access public benefits or insurance (i.e. Medicaid).

PA Medical Assistance Billing Parental Consent Form

PA Medical Assistance Billing Parental Notice

PA Medical Assistance Billing Parental Consent SPANISH

PA Medical Assistance Billing Parental Notice SPANISH

Additional questions about parent consent and the School Based ACCESS program can be directed to:

Sandra M. Edling
CFO/Director of Business Services
Email: sedling@mciu.org
Phone: 610-755-9410

Kathryn Hetrick
Secretary
Email:
khetrick@mciu.org
Phone: 610-755-9409