DISCLOSURE STATEMENT:
By completing and signing this form, you consent to using Orion ISO as your CFSS Consultation Service Provider. You also confirm that you have completed a qualified assessment with your County authorizing CFSS services and have notified your County, Case Manager, or Care Coordinator that have chosen Orion ISO as your CFSS Consultation Provider. Your CFSS start date is contingent upon County approval and, if applicable, the date of your individual assessment.