SISD Mandatory Consent Form For Routine Student Services

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SB 12 Compliance - Physical & Mental Health-Related Services

Email *

Dear Valued Families of Snook ISD,

We want to make you aware of a new state law that takes effect beginning Sept. 1, 2025. Senate Bill 12, passed during the 89th Legislative Session, requires parents to provide consent for students to receive health and counseling services at school. This means that before our school nurses, counselors, or other district professionals can provide support to your child, we must have your written consent on file.

This consent supports timely and equitable access to care that promotes student safety, wellness, and readiness to learn.

Consent is valid for the entire school year unless you choose to revoke it in writing.

Examples of Routine Services That May Be Provided:

Physical Health Services (by school nurses):

Medication Administration,

Special procedures upon written parent request and with a physician’s order

State-mandated screenings such as vision, hearing, spinal, and Texas Risk Assessment for Type 2 Diabetes in Children

Management of chronic health conditions including diabetes, seizures, and allergies

Communicable disease or condition symptom evaluation, exclusion, and readmission

First aid for injuries, illness, and care to protect the immediate health and safety of the student

Coordination of health services

Immunization compliance

Mental Health Services (by school counselors, social workers and/or mental health staff):

All District employees:

Shall report alleged abuse or neglect of a student as required by law; and may verbally inquire about a student’s daily well-being without parental consent.

District employees and contractors will NOT provide assistance with social transitioning, including providing any information about social transitioning or providing guidelines intended to assist a person with social transitioning.

Under state law, a child may consent to counseling for themselves as it relates to suicide prevention; chemical addiction or dependency; or sexual, physical or emotional abuse.

Routine Counseling Services

State law requires school counselors to provide the following services as part of a Comprehensive School Counseling Program:

A guidance curriculum to help students develop their full educational potential, including the student's interests and career objectives.

A responsive services component to intervene on behalf of any student whose immediate personal concerns or problems put the student's continued educational, career, personal, or social development at risk.

An individual planning system to guide a student as the student plans, monitors, and manages the student's own educational, career, personal, and social development.

System support to support the efforts of teachers, staff, parents, and other members of the community in promoting the educational, career, personal, and social development of students.

School counselors routinely provide the following services:

Advise students and their parents regarding the importance of postsecondary education, coursework designed to prepare students for postsecondary education, and financial aid availability and requirements;

Early mental health prevention and intervention;

Building skills related to managing emotions, establishing and maintaining positive relationships, and responsible decision-making;

Substance abuse prevention and intervention;

Suicide prevention, intervention, and postvention;

Grief-informed and trauma-informed practices;

Positive school climates, meaning the quality and character of school life, including interpersonal relationships, teaching and learning practices, and organizational structures, as experienced by students enrolled in the District, parents of those students, and personnel employed by the District;

Positive behavior interventions and supports;

Positive youth development; and

Safe, supportive, and positive school climate.

Short-term individual counseling or check-ins

Social-emotional skill-building or group counseling

Support during emotional distress or crisis

Behavioral observations, problem-solving and conflict resolution

Referral to external providers, if needed (requires parent/guardian consent)

School Counselors, Social Workers and the District Crisis Team Do Not Provide the Following Services:

Formal medical or psychological/psychiatric assessments or diagnosis

Therapeutic psychological or psychiatric treatment

Prescription medication administration/supervision

A parent/guardian may opt out of mental health-related services annually, and consent may be revoked or reinstated at any time with written notice signed by the parent/guardian.

A parent/guardian may NOT opt out of the following:

School district emergency responses;
Law enforcement or Department of Family and Protective Services activities;
Behavioral threat assessment required by law; or
Other rights or duties required by law, including the Texas Family Code.

Student Last Name *

Student First Name *

Campus *

Grade *

Parent/Guardian First & Last Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Parent/Guardian Opt-in Permission for Health-Related Services- Please Select Your Choice: *

YES, I consent to my child receiving routine school-based physical health services during the 2025–2026 school year. I understand this consent may be revoked at any time in writing. I understand that I will be contacted in emergencies or when physical health concerns arise.

NO, I do NOT consent to my child receiving routine school-based physical health services during the 2025-2026 school year. I understand that if I opt-out of health-related services, my student will NOT be able to be assisted in the event of illness or injury while at school by the nurse, or any other district employee, except in life-threatening circumstances. If I choose to opt-out of state mandated screenings to check for potential vision or hearing impairments and and spinal deformities, I will need to complete a separate form with the school nurse.

Parent/Guardian Opt-in Permission for Counseling-Related Services- Please Select Your Choice: *

YES, I consent to my child receiving routine school-based mental health services during the 2025–2026 school year. I understand this consent may be revoked at any time in writing. I understand that I will be contacted in emergencies or when mental health concerns arise.

NO, I do NOT consent to my child receiving routine school-based mental health services during the 2025-2026 school year. However, a school counselor, social worker or mental health counselor will assist and meet with my child if there is reason to believe he/she is at risk of harming himself/herself or others.

Acknowledgments:

● This form ensures compliance with SB 12 by documenting annual parental consent.

● I may contact school health, athletic, or counseling staff with any questions.

● My child’s privacy will be protected in accordance with state and federal law.

By typing my name below, I confirm that:

I am the parent or guardian of the student named in this form.

The Yes/No answers I gave in this form show what I want for my child’s school health services.

I understand the signature below will count as my signature for those choices.

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