Get the free School Based Health Consent for Services The Wellness ...

Tell Us About Your Child! ! ! ! First Name Middle Initial Last Name Male Female Address City State Zip Code Date of Birth Social Security # Race/Ethnicity (Circle One): Islander! ! ! ! ! ! ! ! ! !

How to fill out school based health consent

How to fill out school based health consent

1. Obtain the school based health consent form from the school's administrative office.
2. Read and understand the instructions and information provided on the consent form.
3. Fill out the student's personal information accurately, such as name, date of birth, and contact details.
4. Provide relevant medical information such as allergies, chronic conditions, and current medications, if applicable.
5. Indicate any specific health services or procedures that require consent, such as administering medication or participating in physical activities.
6. Review and sign the consent form as a parent or legal guardian. If the student is of legal age, they can sign it themselves.
7. Return the completed and signed consent form to the school's administrative office within the designated timeframe.
8. Keep a copy of the filled out consent form for your records.

Who needs school based health consent?

1. Parents or legal guardians of school-age students.

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