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THE SCHOOL DISTRICT OF ESCAMBIA COUNTY J.E. HALL EDUCATIONAL SERVICES CENTER 30 EAST TEXAS DRIVE, PENSACOLA, FL 32503 PH (850)4326121 FX (850)4696379 http://escambiaschools.org TIMOTHY A. SMITH, Ed.
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01
Obtain the declinerescind form from the school's mental health department.
02
Fill out the form completely, providing all requested information accurately.
03
Make sure to sign and date the form before submitting it back to the school.
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Who needs declinerescind school-based mental health?

01
Students or parents/guardians who do not wish to participate in school-based mental health services.
02
Individuals who prefer to seek mental health support outside of the school setting.
03
Those who have specific reasons for declining or rescinding consent for school-based mental health services.
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Declinerescind school-based mental health refers to the process of declining or rescinding school-based mental health services for a student.
The student's parent or legal guardian is typically required to file declinerescind school-based mental health.
To fill out declinerescind school-based mental health, the parent or legal guardian needs to provide information on why they are declining or rescinding the mental health services for the student.
The purpose of declinerescind school-based mental health is to ensure that the school is aware of the parent or guardian's decision regarding the student's mental health services.
The declinerescind form typically requires the parent or legal guardian to provide the student's name, reasons for declining or rescinding the services, and their signature.
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