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Adverse Childhood Experiences (ACE) Screening Consent Form
About this free form template

Support Your Child's Wellbeing with Trauma-Informed ACE Screening

Adverse Childhood Experiences (ACEs) can significantly impact a child's development, learning, and overall health. This ACE Screening Consent Form helps schools and educators identify students who may benefit from additional support services in a compassionate, trauma-informed way.

Built for school counselors, administrators, and educational support teams, this Paperform template makes it easy to collect parental consent for ACE screening while maintaining the highest standards of confidentiality and sensitivity. The form clearly explains the purpose of screening, how data will be protected, and what support services are available—helping parents feel informed and empowered rather than judged.

Why schools choose Paperform for sensitive parent communication

When dealing with sensitive topics like childhood trauma, the way you present information matters. Paperform's flexible design capabilities allow you to create forms that feel warm, professional, and trustworthy—not clinical or intimidating. You can add reassuring language, embed supportive videos, include images of your counseling team, and customize every element to match your school's caring approach.

The form includes conditional logic to immediately provide relevant resources based on parent responses, ensuring families receive appropriate support information right away. Follow-up emails can be personalized to include counseling referrals, crisis hotlines, or scheduling links for support services—all without requiring technical expertise.

Streamline trauma-informed care with integrated workflows

With Stepper workflow automation, you can ensure that every consent form triggers the right next steps automatically:

  • Route completed consents to school counselors and assigned case managers
  • Create confidential student support records in your student information system
  • Schedule follow-up check-ins with families who opt in for additional resources
  • Notify mental health partners when referrals are needed
  • Track consent status and screening completion across grade levels

This automation ensures no child falls through the cracks while maintaining strict confidentiality protocols throughout the entire process.

Built for compliance, privacy, and trust

Schools must balance transparency with privacy when conducting ACE screenings. This template includes comprehensive confidentiality disclosures, optional consent for information sharing with healthcare providers, and clear language about mandatory reporting obligations—helping you meet legal requirements while building trust with families.

Paperform is SOC 2 Type II compliant with robust security features including data encryption, access controls, and detailed audit logs. While not HIPAA compliant, Paperform provides the professional-grade security that educational institutions need for sensitive student and family data.

Trusted by schools and mental health organizations to handle sensitive family communications with care, this template helps you implement trauma-informed practices that support the whole child while respecting family privacy and autonomy.

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