1. (1) Additional consent is required in special circumstances through the Parental Notification of Health Related Care: General (HS 020, January 2014) and is incorporated into this rule and is available electronically at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-03808"
   http://www.flrules.org/Gateway/reference.asp?No=Ref-03808. Informed consent is required for the following:

   1. (a) Hospitalization;
   2. (b) Surgery;
   3. (c) Pelvic Examinations as defined in section 456.51, F.S.;
   4. (d) Any procedure or service of an invasive nature including dental fillings, crowns and anesthesia;
   5. (e) Any procedure where the benefit to the child is uncertain; and,
   6. (f) Any procedure or service that the parent or guardian has previously prohibited.
2. (2) Newly prescribed medications, or a significant change to medications (including OTCs), excluding psychotropic medications, require parental notification through the Parental Notification of Health-Related Care: Medication Management (HS 021 April 2024) and is incorporated into this rule and is available electronically at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-17505"http://www.flrules.org/Gateway/reference.asp?No=Ref-17505. Reasonable attempts shall be made to contact the parent/guardian/assigned custodian verbally/by telephone prior to making the changes in order to explain the medications.
3. (3) New Vaccinations and Immunizations shall be provided in accordance with 64D-3 F.A.C. and informed consent obtained and documented by utilizing the Parental Notification of Health Related Care: Vaccinations/Immunizations (HS 022, February 2010) which is incorporated into this rule and is available electronically at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-03810"
   http://www.flrules.org/Gateway/reference.asp?No=Ref-03810.
4. (4) When the person authorized to consent withholds, revokes or limits consent for any recommended treatment, the program’s Designated Health Authority, based on his or her clinical judgment, shall determine whether failure to provide the treatment will potentially result in serious or significant health consequences for the youth or threaten his or her life or jeopardize the health of other youth and staff in the program. If the Designated Health Authority so determines, the program director shall explain the situation to the person withholding, revoking or limiting consent, encouraging him or her to consent to the needed treatment; however, if consent is still denied, the program director shall contact the department’s regional general counsel to request assistance to obtain a court order authorizing the treatment.
5. (5) Informed consent is not required for emergency services.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New 6-20-14, Amended 2-5-25.