Ensure consent is obtained from the family for a Request and for sensitive information to be shared with professionals in the EHH. Please note anybody over 13 years, who is deemed competent, can give their own consent. This may be with or without parental consent. By ticking this box, you are confirming that the following verbal consent has been given: “I agree to this Request and to my information being shared with agencies that are part of the EHH response”: Are Parent(s)/Carers consenting to this Yes No Unknown Not Applicable request? delete as appropriate Is the Person consenting to the Yes No Unknown Not Applicable Request? delete as appropriate Name of person giving consent Date What are the Child/Young Person(s) views? What are the Parent(s)/Carer(s) views? Person’s Current Family & Social Situations Parents/carers caring for child/young person Surname Forenames Gender Address Date of Relationship to Parental Ethnicity* and Tel No Birth child Responsibility (Tab down to increase rows)
Ensure consent is obtained from the family for a Request and for sensitive information to be shared with professionals in the EHH. Please note anybody over 13 years, who is deemed competent, can give their own consent. This may be with or without parental consent. By ticking this box, you are confirming that the following verbal consent has been given: “I agree to this Request and to my information being shared with agencies that are part of the EHH response”: Are Parent(s)/Carers consenting to this request? delete as appropriate Yes No Unknown Not Applicable Is the Person consenting to the Request? delete as appropriate Yes No Unknown Not Applicable Name of person giving consent Date What are the Child/Young Person(s) views? What are the Parent(s)/Carer(s) views? Person’s Current Family & Social Situations Parents/carers caring for child/young person Surname Forenames Gender Address and Tel No Date of Birth Relationship to child Parental Responsibility Ethnicity* (Tab down to increase rows)
early-help-hub.docx