Health Services Consent Form

In accordance with Idaho Code 32-1015, the Shelley School District is committed to adhering to state law, which mandates parental consent for any health screening or service provided to a minor. Our foremost priority remains the safety and well-being of the students entrusted to our care. Given the inherent risks associated with school activities, athletic events, and other extracurricular activities, we strive to ensure that students receive the highest standard of care in all situations.

State law stipulates that "an individual shall not furnish a health care service or solicit to furnish a health care service to a minor child without obtaining the prior consent of the minor child’s parent," except in cases where "furnishing the health care service is necessary in order to prevent death or imminent, irreparable physical injury to the minor child."  A health care service means "any service for the diagnosis, screening, examination, prevention, treatment, cure, care, or relief of any physical or mental health condition, illness, injury, defect or disease."  Health care services may be administered by a sports trainer, athletic technician, doctor, coach, or another supervising adult responsible for the child's care during school or during an event.

In practical terms, our goal is to respond promptly and effectively to any injuries sustained during school events. Whether it involves treating a sprained ankle or addressing a potential concussion, our intent is to provide immediate and appropriate care.

As we prepare for the upcoming school year, we kindly request your consent to allow us to provide necessary medical services in the event of an injury during school-related activities.

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Email *
Name of parent/guardian? *
Name of your Student?  (If you have multiple children please fill the form out for each child)    *
Which school does your student attend? *
I consent to school personnel (Including personnel from other schools) treating my child in the event of an injury *
A copy of your responses will be emailed to the address you provided.
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