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

TX HHS Form 5106, "Youth Prevention Indicated and Youth Prevention Selective Verbal Consent," is a crucial document for school staff to obtain verbal consent from parents/guardians for youths to participate in the Youth Prevention Indicated or Youth Prevention Selective Program. This form helps solve the problem of ensuring that parents are informed about their child's participation in these programs, which aim to prevent substance use and misuse.

The key features of this form include the required information such as the organization name, school/community site name, curriculum developer's website, number of sessions, and contact details for the prevention director. The form also highlights important sections like the program description, benefits, and participant rights. Common scenarios of use involve presenting this information to parents/guardians from whom verbal consent is needed.

This form should be used when a representative from an organization partnering with a prevention provider needs to obtain verbal consent for youths to participate in the Youth Prevention Indicated or Youth Prevention Selective Program. The form provides instructions for school staff on how to present this information and obtain consent, making it a valuable tool for ensuring that parents are informed about their child's participation in these programs.