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Individual Counseling Referral (Please return this form to the appropriate Counselor in the SHS Counseling Department)Date: ___ Parent/Guardian name (who is making referral): ___ Students name: ___
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How to fill out parent referral and consent
How to fill out parent referral and consent
01
Obtain the parent referral and consent form from the designated source.
02
Fill out the parent's name, contact information, and relationship to the child.
03
Provide information about the child including their name, date of birth, and any relevant medical or educational history.
04
Clearly state the reason for the referral and the services or programs being consented to.
05
Have the parent review and sign the form, indicating their consent to the referral or services.
06
Make a copy of the completed form for your records and provide the original to the appropriate party.
Who needs parent referral and consent?
01
Parent referral and consent are typically needed by service providers, educational institutions, healthcare facilities, or any organization requiring parental authorization for services or programs involving a child.
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What is parent referral and consent?
Parent referral and consent is a formal process where parents or legal guardians give permission for their child to participate in a specific program or activity.
Who is required to file parent referral and consent?
Parents or legal guardians are required to file parent referral and consent.
How to fill out parent referral and consent?
Parent referral and consent forms can be filled out by providing the necessary information about the child and the program or activity, and signing to give consent.
What is the purpose of parent referral and consent?
The purpose of parent referral and consent is to ensure that parents are aware of and agree to their child's participation in a specific program or activity.
What information must be reported on parent referral and consent?
Parent referral and consent forms typically require information such as the child's name, date of birth, program or activity details, and parent contact information.
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