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INFORMED CONSENT AND AGREEMENT TO PARTICIPATE IN SCHOOLED BEHAVIORAL HEALTH SERVICES Please complete as part of agency intake packet. Student Name: ___ Student Number:___ School: ___ Date of Birth:

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How to fill out FL DCPS Informed Consent and Agreement to Participate

1. Obtain the FL DCPS Informed Consent and Agreement to Participate form from the relevant agency or website.
2. Read the instructions and information thoroughly to understand what the form entails.
3. Fill in the participant's personal details, including name, address, and date of birth.
4. Specify the purpose of participation in the program or study.
5. Indicate any potential risks or benefits associated with participation as outlined in the document.
6. Provide information regarding confidentiality and how the data will be used.
7. Read through the consent agreement carefully.
8. Sign and date the form in the designated areas.
9. If applicable, have a parent or guardian sign if the participant is a minor.
10. Return the completed form to the relevant agency or person in charge.

Who needs FL DCPS Informed Consent and Agreement to Participate?

1. Individuals who are participating in programs or studies facilitated by the Florida Department of Children and Families (DCF).
2. Parents or guardians of minors participating in such programs.
3. Any stakeholders involved in assessments or interventions that require informed consent.

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What is FL DCPS Informed Consent and Agreement to Participate?

FL DCPS Informed Consent and Agreement to Participate is a document that ensures parents or guardians are informed about the services being provided to their child and that they agree to their child's participation in those services.

Who is required to file FL DCPS Informed Consent and Agreement to Participate?

The parent or legal guardian of a child receiving services from the Florida Department of Children and Families (DCF) is required to file the FL DCPS Informed Consent and Agreement to Participate.

How to fill out FL DCPS Informed Consent and Agreement to Participate?

To fill out the FL DCPS Informed Consent and Agreement to Participate, parents or guardians should read the document thoroughly, provide any required personal information, sign the document, and submit it to the relevant department.

What is the purpose of FL DCPS Informed Consent and Agreement to Participate?

The purpose of the FL DCPS Informed Consent and Agreement to Participate is to legally document the consent of the parent or guardian, ensuring that they understand the nature of the services and agree to their child's participation.

What information must be reported on FL DCPS Informed Consent and Agreement to Participate?

The FL DCPS Informed Consent and Agreement to Participate must report information including the child's name, date of birth, the services being provided, the name and role of the service provider, and signature of the parent or guardian.