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Series 501.3.5P - Early Childhood Screening Warning Letter to Parents

Adopted: April 1994
Revised: August 2006


Dear (Parent/Guardian):

As the parent or guardian of a newly enrolled student in Independent School District 196, you are required to provide your child’s school with:

1. Proof of early childhood screening, or

2. A statement signed by the child’s parent or guardian that the child has not been screened because of conscientiously held beliefs of the parent or guardian (District Procedure 501.3P, Conscientious Objection to Early Childhood Screening).

Minnesota law states that no child shall be allowed to remain enrolled in any school in the state until evidence of early childhood screening has been submitted to a school official. The summary must be completed by:

1. A private health provider or organization such as your physician

2. A public health provider or organization, or

3. A school district.

It is the responsibility of the child’s parent or guardian to provide the information described above to the child’s school within 30 days of enrolling the child in the district.

The school district must enforce this law for parents who fail to comply with this requirement. Failure to comply will result in your child’s exclusion from school.

Please direct questions to (name of designated screening representative in your school).



(name of school official)

(title of school official)