What if the parent refuses to sign the physician authorization form?
Schools are obligated to provide emergency first aid. This would include treatment for hypoglycemia and extreme hyperglycemia. If authorization or consent to provide healthcare services is not received the letter should be sent to the parent(s) informing them that the standards for treatment of hypo and hyperglycemia will be implemented if necessary. The school nurse needs to document correspondence and the parents refusal to consent. The school nurse proceeds to train staff according to these approved standards.
