I consent to medical examination, diagnosis, and treatment for my child. I understand that medical care involves risks and benefits.

I consent to emergency medical treatment if I cannot be reached immediately in case of emergency.

I consent to the administration of anesthesia by qualified medical personnel if required for procedures.

I consent to surgical procedures if recommended by the physician and deemed necessary for my child's health.

I consent to receive phone calls regarding appointments, test results, and health information.

I consent to receive text messages for appointment reminders and health information.

I consent to receive emails with health information, test results, and appointment reminders.

I consent to receive voicemail messages with health information and appointment reminders.

I authorize the release of health information to my child's school for health services and accommodations.

I authorize the release of health information to other healthcare providers involved in my child's care.

I authorize the release of health information to specified family members or caregivers.

I authorize the release of health information to emergency contacts in case of emergency.

I acknowledge receipt of the Notice of Privacy Practices and consent to the use and disclosure of my child's health information.

I understand my rights regarding my child's health information and how it may be used and disclosed.

I consent to the administration of recommended vaccinations according to CDC guidelines.

I consent to the administration of prescribed medications by qualified medical personnel.

I consent to school health services including medication administration and health monitoring.

I consent to photography for medical documentation purposes only.

I consent to my child's participation in approved research studies that may benefit pediatric care.