Dear parent or guardian,
The purpose of this form and the attached copy of the District’s policy on Student Health/Physical Screenings/Examinations is to provide notice of all health services offered or made available through the school by the District or by any private organizations and to provide notice of the District’s policy on physical examinations and screening of students and to obtain parent/guardian consent for these services.
The District will provide, under reasonable circumstances, nonemergency first aid services to a child appearing or representing to be sick or injured, such as dressing minor wounds, applying topical agents, providing fluids or ice, and performing checks to identify minor illnesses.
The blanket consent requested in this form applies only to the health services or examinations for which the parent/guardian has provided permission below. A parent or guardian is not required to provide blanket consent. If blanket consent is not provided, the District will seek consent on a case-by-case basis when consent is required. This blanket consent does not limit or replace the District’s authority or obligation to respond to a medical emergency. Consistent with Idaho law and District policy, the District may provide health care services without prior parent/guardian consent when District staff reasonably determine that a medical emergency exists and:
- The health care service is necessary to prevent the minor child’s death or address serious bodily harm; or
- Despite a reasonably diligent effort, District staff are unable to contact the parent or guardian, and the health care service is furnished to prevent loss of life or serious physical illness or injury to the minor child.
