Consent Form

Please upload 1. Consent Form in alignment with Attachment B of the External Provider Engagement Agreement.

This form ensures written consent from the parent or carer of the student named in the Service Schedule has been obtained by the service provider while also allowing the Provider to share updates with the School about the Service delivered to the student, using the Service Update Form

This Consent Form template is available to support external providers ensure permission gained aligns with the legal privacy requirement of ensuring that consent is informed and specific, so that it is precise as to the type of consent and the exact contents of the information to which the consent relates.

Note that this form does not replace the Provider’s own consent process for delivering the Service itself.

External Provider - Service Schedule

James Busby High School