Health Services Consent Form
Notice: Parent/Guardian permission is required for health services performed in the school setting.
Health Services in School Setting:
Pursuant to the requirements of T.C.A. § 63-1-173, students cannot receive non-emergent medical care absent parent consent. This may include but is not limited to, cleaning and bandaging minor cuts or abrasions, providing an ice pack, or managing illnesses and or injuries that can occur during a school day. If consent is provided, it will remain in effect during the school year unless withdrawn in writing by the parent/guardian.
Pursuant to the requirements of T.C.A. § 63-1-173, students cannot receive non-emergent medical care absent parent consent. This may include but is not limited to, cleaning and bandaging minor cuts or abrasions, providing an ice pack, or managing illnesses and or injuries that can occur during a school day. If consent is provided, it will remain in effect during the school year unless withdrawn in writing by the parent/guardian.
*If "I DO NOT ACCEPT" is selected, please ensure that your student understands they cannot go to the school nurse to receive treatment outside of an emergency. Parents will also be expected to ensure they are able to provide necessary treatment within 30 minutes of notification.
Health Services in School Setting:
Pursuant to the requirements of T.C.A. § 63-1-173, students cannot receive non-emergent medical care absent parent consent. This may include but is not limited to, cleaning and bandaging minor cuts or abrasions, providing an ice pack, or managing illnesses and or injuries that can occur during a school day. If consent is provided, it will remain in effect during the school year unless withdrawn in writing by the parent/guardian.
Pursuant to the requirements of T.C.A. § 63-1-173, students cannot receive non-emergent medical care absent parent consent. This may include but is not limited to, cleaning and bandaging minor cuts or abrasions, providing an ice pack, or managing illnesses and or injuries that can occur during a school day. If consent is provided, it will remain in effect during the school year unless withdrawn in writing by the parent/guardian.
*If "I DO NOT ACCEPT" is selected, please ensure that your student understands they cannot go to the school nurse to receive treatment outside of an emergency. Parents will also be expected to ensure they are able to provide necessary treatment within 30 minutes of notification.