Patients/clients who are minors (17 years and younger) cannot be seen without a signed consent from their parent or legal guardian (with court issued documentation). A Student Wellness Center Consent for Treatment must be signed by the parent/guardian and notarized or witnessed by a Student Wellness Center staff member before or on the first visit.
Parents/Guardians may arrange to provide a consent so that it is on file before the minor needs services.
These are the following options for a parent/guardian to provide this authorization to best accommodate your needs and schedule:
Option 1: Accompany Minor to Their SWC Appointment
Bring a government issued I.D. and let the Front Desk know that you need to sign a Minor Consent for Treatment form that must be witnessed by SWC staff.
Please plan to arrive at least 30 minutes before the appointment for this. This is in addition to forms that must be filled out for the appointment.
Option 2: Download Form to Sign In Front of Notary
Download the form to print out:
- Patients/Clients 17 Years and Younger: 51³Ô¹ÏºÚÁÏ Students
- Patients 17 Years and Younger: Faculty/Staff Dependents
Take it to a notary as a witness to you signing the form in front of them.
Submit the appropriate form for Minors consent from the Forms page.
By postal mail:
Student Wellness CenterUniversity of Nevada Las Vegas
ATTN: Health Information Management
4505 S. Maryland Parkway
Box 453020
Las Vegas, NV 89154-3020l
By Fax: 702-895-4316
Option 3: Meet with SWC Staff via the Internet
This process will start with an appointment via Zoom. The SWC staff person will validate the parent/legal guardian’s identity with a photo I.D.
To begin this process, please send an email to him@unlv.edu to request an appointment time with the following information:
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Subject: Minor Consent Appointment Request
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Please put the following information in the email:
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Your name
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The minor’s name
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The minor’s NSHE ID
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Your relationship to the minor
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Your contact phone number
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Best times for you to meet Monday through Friday between 8 a.m. to 5 p.m. Pacific
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Equipment needed:
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Mobile device or computer with internet connection, best to use a desktop or laptop computer with a screen large enough to support multiple browser windows including live video access
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Web Camera
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Government I.D. to present for validation