Universal Screener of Behavioral Health Opt-Out Form
I understand that my child’s school will be administering a universal assessment of behavioral health (BIMAS-2). I wish to opt out of this assessment. I understand that by signing this form, my student will not be included in the school-wide assessment. If you have more than one student you wish to opt out, please complete this form for each student.

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Email *
Name of Student *
Student's Grade *
Student's Homeroom Teacher Name *
Parent/Guardian Name and Date *
Submit
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