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LESLIECOUNTYSCHOOLSSchool Based Health Consent for Services Grace Community Health Center, Inc. Please read carefully: In order for us to see your child in school based clinics, all pages of this
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How to fill out school based health consent

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How to fill out school based health consent

01
Step 1: Start by obtaining the school based health consent form from your child's school.
02
Step 2: Read the form carefully to understand the information it requires and the purpose of the consent.
03
Step 3: Fill out the student's personal information such as name, date of birth, and contact details.
04
Step 4: Provide any relevant medical information about the student, including allergies, chronic conditions, and current medications.
05
Step 5: Indicate the activities or services for which you are granting consent, such as medication administration, emergency medical treatment, or participation in certain school activities.
06
Step 6: Sign and date the consent form to acknowledge that you have read and understood the information provided.
07
Step 7: Return the completed form to the school office or designated personnel responsible for collecting consent forms.
08
Step 8: Keep a copy of the consent form for your records.

Who needs school based health consent?

01
School based health consent is required for students who may require medical attention, medication administration, or participation in specific activities that may pose health risks.
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School-based health consent is a permission form that allows school health providers to administer medical services to students during school hours.
Parents or guardians of students are required to file school-based health consent.
School-based health consent forms can usually be filled out and signed electronically through the school's online portal or by submitting a physical form to the school office.
The purpose of school-based health consent is to ensure that students receive necessary medical care and treatment while at school.
School-based health consent typically includes information such as the student's medical history, emergency contact information, and permissions for specific medical treatments.
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