Effective immediately if the school does not have the attached consent form with the box checked, "Care and treatment for illness and injury", students will not be able to be seen in the clinic.

If we DO NOT have the attached Consent Form on record for your child, NO MEDICAL ASSISTANCE CAN BE PROVIDED!

CONSENT FOR SCHOOL HEALTH SERVICES:

• The attached consent form once turned in completely filled out will remain in effect until your child transfers to another school district, graduates or you indicate in writing that you wish to rescind this consent for school health services.
• When necessary, emergency health services such as first aid, cardiopulmonary resuscitation (CPR) or use of an automated external defibrillator (AED) will be performed until emergency medical services arrive on campus.
• Separate parent/guardian authorizations will be required for the school clinic staff or school staff to administer daily or as-needed prescribed or over-the-counter medications, conduct medical procedures or provide medical treatment.

THE ATTACHED FORM MUST BE COMPLETED AND RETURNED TO THE SCHOOL CLINIC IF YOU CONSENT AND WISH FOR YOUR CHILD TO RECEIVE ANY OF THE SCHOOL HEALTH SERVICES LISTED ON THE FORM.

Consent for School Health Services Form