8.General Purposes Explanation
This form allows parents to consent to or decline School-Based Mental Health (SBMH) services at Immanuel Lutheran School (ILS) in Washington. You may choose to:
- Have your child scheduled for services right away
- Wait until a need arises
- Decline school-based counseling altogether
Even if you do not wish to start services now, completing the form ensures that consent is on file, making it faster to access support later in the school year.
You only need to submit the form once. It is designed to record your preference for each child enrolled at ILS. For example, you may request services for one child but decline or defer for another.
If you decline services for all children, the form will end once that preference is selected.
If you request services now or later for a child, you will be asked for additional information and consent for that child.
For children you wish to have seen right away, please complete the comprehensive symptom checklist. This helps the therapist understand your concerns before counseling begins.
If you request services now or later for a child, you will be asked for additional information and consent for that child.
For children you wish to have seen right away, please complete the comprehensive symptom checklist. This helps the therapist understand your concerns before counseling begins.
Once you click SUBMIT, your responses will be sent securely to Buddies Not Bullies.
Buddies Not Bullies is legally and ethically required to provide clear information about our services and to follow the standards of public health officials, licensing boards, and insurers. This form includes a general informed consent statement and information on current COVID-19 protocols.
Before submitting, please review all information for accuracy. If you experience any issues, contact us at hello@buddiesnotbullies.org