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Consent for Healthcare *Parents MUST SIGN ASAP*

The Parent Bill of Rights requires that we receive parent/guardian consent for delivering invasive health care services on our campus, this encompasses any health-related service.  As a result, a stand-alone consent form must be completed for each student granting consent for all clinic services.  All completed consent forms for students attending Palm Bay Magnet High School must be turned into the front office.  By not completing the form or returning a form with a NO response indicates that you do not consent for treatment in the PBMHS clinic and will need to be called for all medical concerns.  Dispensing of medication is allowed with the appropriate documentation.  If you have any questions, please call the front office at 321-952-5900.


Parents, please print out the form below and return it to the front office ASAP.

This form is REQUIRED for students to receive medical treatment in the clinic.


Parental Consent for Healthcare


Consentimiento de los Padres para la atencion médica