School Based Health Center – Parental Consent Forms
School-based healthcare can serve students differently, based on need.
- Medical services include immunizations, sports/work/annual physicals, asthma or other chronic disease management and acute care for sick or injured students.
- Mental Health services are available if needed.
- Vision services include comprehensive eye examinations and the prescribing and dispensing of corrective lenses.
- Dental services will include preventative exams, cleanings, x-rays and corrective treatment.
CONSENT FORMS ARE AVAILABLE BELOW, AND MAY ALSO BE PICKED UP AT EACH SCHOOL OR SBHC.
*SERVICES WILL NOT BE PROVIDED WITHOUT PARENTAL CONSENT!*
-
SCHOOL BASED-HEALTH PATIENT REGISTRATION/FINANCIAL FORM: ENGLISH (Updated 7/20/2023)SCHOOL BASED-HEALTH PATIENT REGISTRATION/FINANCIAL FORM: ENGLISH (Updated 7/20/2023)
-
SCHOOL BASED-HEALTH CONSENT FORM: ENGLISH (Updated 7/20/2023)SCHOOL BASED-HEALTH CONSENT FORM: ENGLISH (Updated 7/20/2023)
-
SCHOOL BASED-HEALTH RELEASE FORM: SPANISHSCHOOL BASED-HEALTH RELEASE FORM: SPANISH
-
NORTHRIDGE STUDENTS MEDICAL RELEASE FORMNORTHRIDGE STUDENTS MEDICAL RELEASE FORM
-
THE 8 STEPS TO UNDERSTANDING SCHOOL BASED HEALTHTHE 8 STEPS TO UNDERSTANDING SCHOOL BASED HEALTH
