TX HHS Form 5106. Youth Prevention Indicated and Youth Prevention Selective Verbal Consent

The TX HHS Form 5106, Youth Prevention Indicated and Youth Prevention Selective Verbal Consent, is a crucial document that helps solve the problem of obtaining parental consent for youth participation in substance abuse prevention programs. This form is typically used by school staff to present information to parents/guardians from whom verbal consent is needed.

The form requires specific information, including the organization name, school/community site's name, and curriculum details. It also outlines conditions and responsibilities, such as the program's purpose, duration, and cost (no cost for youth participation). Additionally, the form specifies follow-up actions, like providing a packet with program information to consenting parents/guardians.

This form is essential for ensuring that youth participate in substance abuse prevention programs that align with their needs. Key points to note include:

• The program is designed to help young people resist substance use and misuse and make healthy life choices.
• The program consists of [Enter Number of Sessions] weekly sessions, and participation is voluntary.
• Parents/guardians can contact the prevention director with questions about the program.