Routine Health Services Consent

Senate Bill 12, which became effective law on September 1, 2025 requires school districts to seek parental consent from parents for health services provided to students.

After receiving clarification from the Texas Education Agency (TEA), school districts can seek parental consent under Senate Bill 12 through a selective opt-out option. This means that moving forward, parental consent for routine services is presumed unless a parent chooses to opt-out of a particular routine health services offered by the school district. Prior to receiving this clarification from TEA, Frisco ISD sent parents a routine health services form that asked parents to opt-in or opt-out of routine health services for each child in their family.

After receiving clarification from TEA, those parents who chose not to provide consent through the Routine Health Services Consent Form will now have the option to opt-out of routine health services for their child utilizing a Health Services Opt-Out Form. Parents can contact their campus for this form.

Routine Health Services That May Be Opted Out Of

Physical Health Services (by school nurses or athletic trainers)

  • First aid* (Although this is considered a health service under law, TEA has now clarified that first aid must be provided to all students, regardless of parental consent as a general caretaking responsibility of school districts)

  • Injury evaluation

  • Administration of over-the-counter or prescription medications per school policy

  • Monitoring of chronic health conditions (e.g., asthma, diabetes)

  • Vision, Hearing, Acanthosis Nigricans, and Scoliosis screenings

  • Support during illness or physical symptoms at school

  • Heat illness prevention and injury support for student athletes

  • Standing Orders from Medical Director - Dr. Mark Gamber

Mental Health Services (by school counselors or mental health staff)

  • Short-term individual counseling or check-ins

  • Comprehensive student-success needs assessment (academic related behavior needs like study skills and school involvement, not for mental health diagnostic purposes)

  • Social-emotional skill-building or group counseling

  • Support during emotional distress or crisis, including assessment following a reported concern of student self-harm or harm to others

  • Behavioral observations and problem-solving

  • Referral to external providers, if needed (with additional consent)

The consent does not include formal medical or psychological diagnosis, prescription medication administration without proper authorization or ongoing therapy or treatment requiring parental notification under law. These activities would require separate written consent and parental involvement, unless in emergency or legally exempt circumstances.

If any health services are needed beyond the routine services, campus staff will contact the parent to discuss their child’s additional needs and seek further consent for non-routine health services recommended.

Reviewing Parent Consent Status

Viewing Consent Status - Parents can view their consent status for Physical Health Services and Mental Health Services in the Home Access Center. Access the HAC Help page. Please reach out to ISRegistration@friscoisd.org if you have any questions about how to view the status.

Questions

For any questions regarding routine services for Physical Health, please contact your student’s home campus nurse.

For any questions regarding routine services for Mental Health, please contact your student’s school counselor.