25 Tex. Admin. Code § 97.91 - Delegation of Authority to Give Informed Consent for Immunizations of a Minor
(a) Certain information must be obtained
prior to immunizations of a minor when the parent/legal guardian is not present
and another adult purports to have consent of that parent/legal
guardian.
(b) The information may
be hand written or typed and should be completed on each minor for each clinic
visit when an adult other than the parent/legal guardian is providing consent
for the immunizations.
(c) The
delegation of authority to consent for immunization of a minor shall include
the following information:
(1) the signature
of parent, managing conservator, legal guardian, or other person authorized to
give consent;
(2) the name and
birthdate of minor;
(3) the name of
the adult giving consent for immunizations of the minor; and
(4) the relationship of the adult to the
minor for whom they are giving consent.
(d) The delegation of authority statement
must contain the information in subsection (c) of this section and could
resemble the following.
(e)
Immunizations may also be administered as provided in Family Code, §
32.101.
Notes
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