Parental Consent for Health Care

Parental Consent for Health Care



As required by Florida Statute 10143.06(1), parents or legal guardians must authorize healthcare services to be provided for their child by a healthcare practitioner or their delegate should the need arise for such treatment , while their child is under the supervision of the school.  The form is available on our homepage and available in English and Spanish.  Please print, fill out and return to the front office or your child can bring it to the front office.  If you do not fill out a form, this will result in an indication of “no” for healthcare treatment. 

Thank you for your attention to this matter. 


English Form

Spanish Form