$0 Texas School and Medical Consent Checklist

How to Get Legal Authority Over a Grandchild in Texas Without Going to Court

You Don't Need a Court Order for Most Everyday Decisions

If you're a grandparent or relative raising a child in Texas and you've been told you need legal custody or guardianship to handle school and medical decisions, that's not accurate. Texas provides two statutory pathways that give you documented legal authority without a courtroom, a lawyer, or a judge.

The key distinction: "legal authority" for day-to-day caregiving — school enrollment, doctor visits, dental appointments, immunizations, benefits applications — doesn't always require custody or conservatorship. Court orders assign particular rights and duties. What you usually need is documented authorization to act on the parent's behalf or under statutory authority that already exists.

Path 1: Chapter 34 Authorization Agreement (When a Parent Cooperates)

Texas Family Code Chapter 34 is the primary out-of-court mechanism. A parent signs an authorization agreement that delegates school enrollment, medical consent, dental care, psychological treatment, immunization authority, insurance management, and benefits applications to you — any adult caregiver, not just blood relatives. Written court permission is required when § 34.004(b) applies.

What it takes:

  • At least one parent must be willing to sign
  • Both the parent and you sign before a notary public (not just witnesses — a notarized jurat is required under § 34.004)
  • If only one parent signs, you must mail a copy to the non-signing parent via certified mail and first-class mail within 10 days, or the agreement is void
  • Valid for six months, auto-renews indefinitely
  • Cost: Texas law caps an oath or affirmation at $10. If a notary performs an acknowledgment, the cap is $10 for the first signature and $1 for each additional signature on that acknowledgment.

A Chapter 34 agreement covers nearly everything you need for day-to-day caregiving. It can authorize school enrollment, treatment consent, and obtaining and maintaining health insurance coverage. Under § 34.007(a), a person who is not a party and relies in good faith on an agreement completed as required, without actual knowledge that it is void, revoked, or invalid, is not subject to civil or criminal liability or professional disciplinary action for that reliance.

The full walkthrough of executing a Chapter 34 agreement is in the Chapter 34 overview post.

Path 2: Chapter 32 Statutory Consent (When a Parent Can't Be Reached)

What happens when a parent can't be contacted and no Chapter 34 agreement is available? Texas Family Code § 32.001 gives grandparents, adult siblings, adult aunts, and adult uncles the legal authority to consent to medical, dental, psychological, and surgical treatment for a minor when the parent cannot be contacted and no actual notice to the contrary has been received.

This doesn't require the parent's advance cooperation for the listed relatives. You invoke it at the point of care — at the doctor's office, dentist, or urgent care — by providing written consent under § 32.002. The written consent must include the child's name; the names of one or both parents, if known, and any managing conservator or guardian; your name and relationship to the child; the nature of the treatment; and the date treatment is to begin.

Chapter 32 is narrower than Chapter 34: it covers the listed medical, dental, psychological, and surgical treatment, and it requires that the parent cannot be contacted and no actual notice to the contrary has been received. But it requires no advance setup, no notary, and no parental signature.

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What These Pathways Don't Give You

Neither Chapter 34 nor Chapter 32 itself transfers custody or appoints you conservator. Any existing court order continues to govern custody and possession. These instruments authorize you to act on the child's behalf for specified purposes — they don't make you the child's legal parent or guardian.

If you need permanency — the child has been with you for years, the parent is unlikely to resume care, or the parent keeps revoking the Chapter 34 agreement — a SAPCR court filing to establish conservatorship is the next step. That does require court, but it's a deliberate escalation for situations where the voluntary system isn't stable enough.

The Combined Approach

Many Texas kinship caregivers use both pathways:

  • Chapter 34 as the baseline. If the parent cooperates at all, get the authorization agreement notarized and on file with the school and the child's doctors. This is your primary document for all everyday decisions.
  • Chapter 32 as backup. If the parent signed but is now unreachable when the child needs an urgent dental filling or a sports physical, Chapter 32 covers you. You don't need to revoke or replace the Chapter 34 agreement — Chapter 32 operates independently.
  • School enrollment without either. Under TEC § 25.001(b)(4), a child under 18 who establishes a separate residence in a school district may be entitled to attend there, subject to the residency, extracurricular-purpose, and other exclusions in § 25.001(d). A Chapter 34 agreement smooths enrollment, but it isn't legally required for this path.

Getting It Done This Week

If a child just arrived in your care and you need school enrollment and a doctor's visit handled now:

  1. If the parent is reachable and willing: Get a Chapter 34 agreement signed and notarized. Bring it to the school and the pediatrician.
  2. If the parent isn't reachable: If the child qualifies under the separate-residence path and § 25.001(d), enroll with the district's accepted residency documentation; a Chapter 34 agreement isn't required. A listed relative can use Chapter 32 written consent for a medical visit when its conditions are met.
  3. If the school pushes back: Follow the escalation steps — cite the statute, put it in writing, escalate to the principal.

The School and Medical Consent Guide for Texas walks through both pathways with execution checklists, an instrument decision flowchart that maps your specific situation to the right legal tool, and escalation letters for institutions that don't understand the statute.

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