1. (a) Certain information must be obtained prior to immunizations of a minor when the parent/guardian can be contacted but another adult is giving consent.
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/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, 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.

Source Note:The provisions of this §97.91 adopted to be effective February 17, 1992, 17 TexReg 942.