To Parent(s) and/or Guardian(s):
The Shiawassee County Health Department and Shiawassee Health and Wellness are partnering to provide Perry High School and Middle School with a licensed, mental health provider and Registered Nurse within the Perry School Wellness Program (SWP). The School Wellness Program protects and promotes student health and provides quality student-centered care.
There is no cost for any Perry SWP service. Once consent is signed, you do not have to be present for your child to be seen.
All students reserve the right to refuse care. The student has a right to have any questions answered about their care.
I understand:
- That State law allows certain confidential services for students that meet age criteria*.
- My child has the right to refuse or defer treatment unless there is harm to self and/or harm to others.
- I am under no obligation to have my child utilize Perry SWP services.
- Perry SWP shall not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
- Perry SWP will take reasonable steps to ensure that persons with Limited English Proficiency (LEP) and/or disabilities, including persons who are deaf, hard of hearing, or blind, or who have other sensory or manual impairments have meaningful access and an equal opportunity to participate in our services, activities, programs and other benefits.
Services NOT provided: NO birth control pill, or devices will be dispensed or prescribed. NO abortion counseling according to Michigan Law.
Parent consent is required for the following services to be provided if the student is under the age of 18.
- Direct health care onsite, mental health counseling, medication administration, minor treatments and first aid following physician standing orders.
- Case management participation and referrals if needed.
- Individual or group health education, confidential individual risk assessment and anonymous group assessments.
- Administration of over-the-counter medication (Tylenol, Motrin, antibiotic cream, anti-itch cream, antacid, cough drops)
*Current Michigan Law allows for confidential services to minor students in these areas.
12 years or older:
- Referrals and education regarding sexually transmitted diseases including HIV
- Referrals and education regarding family planning.
- Referrals and education regarding pregnancy care.
- Substance abuse counseling and referral
14 years or older:
- Can receive limited outpatient mental health services not to exceed 12 visits or four months and not to include any medications.
This program and materials were developed with state funds allocated by the Michigan department of Health and Human Services and Michigan Department of Education.