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FAQs: Consent for health services:
Senate Bill 12
The Governor of Texas signed Senate Bill 12 into law on June 20, 2025. As part of SB 12, Texas public school districts are now required to seek consent from parents prior to providing any routine physical and health services to students. The law becomes effective September 1, 2025.
Under SB 12, public schools must receive parental consent before providing even simple or routine physical and health services to students. For example, before a nurse or counselor can do something as simple as putting a bandage on a skinned knee or helping a child calm their breathing when emotionally upset, the district must have parental consent on file first.
What are “routine” school-based health services addressed by SB 12
Examples of routine health services that may be provided with your consent acknowledged on the School Health-Related Services Parental Consent Form:
Physical health services:
- First aid and injury evaluation
- Nursing assessments and/or care of symptoms of illness or injury while at school
- Routine health screenings- vision, hearing, spinal screening, and Texas Risk Assessment for Type 2 Diabetes in Children
- Monitoring of chronic health conditions (e.g., diabetes, seizures, asthma)
- Communicable disease or condition symptom evaluation, exclusion, and readmission
- Administration of medications (upon written parent request and with a physician’s order)
- Health counseling and education (nutrition, hygiene, disease prevention, general wellness)
- Coordination of health services
- Special procedures (upon written parent request and with a physician’s order)
What services may be performed for my child without the health services consent?
Parental consent is not required for these services:
- Medical emergencies or those required by law
What school-related health services require additional parental consent beyond the SB12 form?
- Administration of medications
- Scheduled nursing procedures
Who provides these health services?
These services are provided by licensed school nurses, teachers, athletic trainers, administrators, clinic aides, or other staff employed by MISD who are charged with supervising children.
If I deny consent to health services, what happens in an emergency?
In a serious emergency, staff will still act to protect your child’s safety and will contact you immediately.
Will my child’s health information be kept private?
Yes. All health records are protected under state and federal privacy laws.
FORMS TO BE COMPLETED BY 9/1/2025
***see bottom of page for attached form.
The district guidelines state that we teach 4th grade girls as well as 5th grade boys and girls about the maturation process. This teaching is done in the Spring. Boys and girls are taught in separate classes. A letter stating the date of the class and requesting your permission for the teaching will be sent home to be signed and returned. Students who do not turn in the permission form will not participate in the lesson.
Our district guidelines also provide pertinent information to the 4th grade boys about physical hygiene/Puberty. This teaching is also done in the spring.
Instruction for each class is by video and live discussion. The links below will allow you to see the study guide and/or transcript that accompanies the video. Please contact your campus nurse with any questions.
Enter Title
Texas Immunization Rules: