Sample OPT OUT Letter
- feel free to use and modify -
{date}



Superintendent and School Board
Superintendent {superintendents name}
{district address}
{City, ST zip}



Dear Superintendent {superintendents name} and Board,

The government requires that I inform my school board by written letter to "opt out" of the governments New Freedom Commission on Mental Health screening program.

As a parent, I request that you do not administer any type of mental health screening on my child.



Student Name: {students name}
Name of School: {name of school}


I urge you to do everything in your power to educate students and parents of their rights to make the process of opting out as straightforward as possible. Here are examples of district procedures I think exemplify the best practices in notification and opt out:
  1. Publicize Opt Out policy at staff & family orientations, in publications, and on the school district's Web site
  2. Attach Opt Out form to the school's required emergency information form, or print the Opt Out form as a standalone form, and require its return as part of student registration
  3. Translate the Opt Out form into multiple languages, as appropriate for our school community.





Signature_________________________________ Date: ___________________


{your name}
{your address}
{City, ST zip}