1. (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.
2. (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.

3. (c) The delegation of authority to consent for immunization of a minor shall include the following information:

   1. (1) the signature of parent, managing conservator, legal guardian, or other person authorized to give consent;
   2. (2) the name and birthdate of minor;
   3. (3) the name of the adult giving consent for immunizations of the minor; and
   4. (4) the relationship of the adult to the minor for whom they are giving consent.
4. (d) The delegation of authority statement must contain the information in subsection (c) of this section and could resemble the following.
   Attached Graphic
   
5. (e) Immunizations may also be administered as provided in Family Code, §32.101.

Source Note:The provisions of this §97.91 adopted to be effective February 17, 1992, 17 TexReg 942; amended to be effective December 15, 2002, 27 TexReg 11750; amended to be effective November 8, 2007, 32 TexReg 7931.