Parental Consent Form

Parental Consent Form

Protect your child from unwanted mental health screenings and counseling without your consent. We have provided forms that you can use to inform your children’s schools of your requirements in this area. With these forms on hand, school authorities will know your position and that you are demanding they get your consent before administering any counseling or screenings.

It is recommended that you fill out a new form each year and deliver one form for each child at the beginning of the school year. Should your child change schools, be sure to provide the new school with their own form.

Instructions

1. Click below to download the correct form for your situation:
   • Form for a Single Parent
   • Form for Two Parents
2. Complete the form and make four or more copies.
3. Keep one for your records, and deliver the others to:
   • The School Superintendent for your child’s district
   • The principal of your child’s school
   • The school board for your county or district 
4. It is further recommended that you send copies of this form to:
   • Your child’s teachers
   • CCHR Louisiana, PO Box 40973, Baton Rouge, LA 70835
   • Your attorney

You may also consider it useful to send copies to other human rights and civil rights organizations you are familiar with or that are interested in this subject.