Need an opt out letter template? Click HERE for the religious Opt Out letter.Administrative Assistant Give Opt Out and Opt Back In Letters to Privacy Officer or Designee. A sample form letter is included at the end of this document. Use this form to document patients who choose to opt-inor opt-outof PhilaVax. Please complete this form in its entirety. Your letter should specifically state that you are refusing the PSSAs for your child based on religious and philosophical objections. This request cannot be denied. A great deal of rules, regulations, and policies regarding opting a student out of high stakes standardized tests are STATE SPECIFIC. RELIGIOUS OPT-OUT PROCEDURES IN PENNSYLVANIA.

Opt Out Wording Example In Philadelphia

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