Wellness Screening Consent Form 2026

1. Click ‘Get Form’ to open the Wellness Screening Consent Form in the editor.
2. Begin by filling in your name and your teen’s name in the designated fields. Ensure that you provide accurate information as this will be used for communication regarding the screening.
3. Indicate whether you would like your child to participate in the Connected Community Wellness Screen Program by checking the appropriate box. This is crucial for ensuring your teen's involvement.
4. Sign and date the form where indicated. Your signature confirms that you understand the program's confidentiality and voluntary nature.
5. Complete the contact information section, including your address, phone numbers, and email address. Providing an email allows you to receive updates on teen mental health information.
6. Review all entered information for accuracy before submitting. Once completed, you can either mail it, have your teen deliver it to school, or email it directly to Jen Parsons.

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