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Health Services Consent Forms

Health Services Consent Forms

In compliance with Senate Bill 12, all Texas school districts must receive parent or guardian permission for nurses and school counselors to attend to students in certain situations. These can include routine counseling and health-related services.

If you want your child to continue receiving all services that require written parental consent, please fill out the forms below. Forms must be filled out for each student. Please be aware that a delay in submission will prevent the prompt implementation of these services for your child.

Consent for Health-Related Services

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Consent for Counseling and Support Services

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Background Information Regarding Law

Governor Abbott signed Senate Bill 12 into law in 2025, which requires school districts to receive written consent from parents/guardians before providing routine physical and health services. The law goes into effect on September 1, 2025.

Examples of counseling support that require consent include:

  • Brief support or strategies for issues such as stress, anxiety, peer relationships, conflict management, or short-term emotional challenges
  • Goal setting and decision-making 
  • Check-ins with student for student or parent-initiated concerns
  • Positive behavior interventions and supports 

Examples of health-related support that require consent include:

  • First aid and injury evaluation
  • Monitoring chronic health conditions such as asthma or diabetes
  • Support during illness or injury while at school
  • Administration of medications (upon parental request and physician order)

While these support services were previously provided without written consent, the new law requires this consent. Without consent, limited services can be provided, such as in response to a medical emergency or if a student is in need of immediate help for suicidal thoughts. Additionally, school staff will continue to provide support as required by law, such as in instances of abuse.