Saddleback Valley USD
25631 Peter A. Hartman Way
Mission Viejo, CA 92691
(School Name)
(Address)
To Whom It May Concern:
My daughter, ________ is a ______ grader in your district/school. We, _______________, parents of _____________, hereby notify you of the following:
Under no circumstance are you to provide any medical attention, medical treatment, medical testing or provide medical advice to our child without the presence of either of us, her grandparents (name both or one set of grandparents), or our attorney.
Under no circumstance will you speak to, reprimand, or advise our student alone with any adult no matter who they are, medical professional, administration or staff on campus, etc., or any other public or private entity without the presence of ourselves, her grandparents (name both or one set of grandparents), or our attorney.
Under no circumstance are you to demand, inquire or ask our child to fill out a form, respond to questions written or oral or digitally about her health choices, doctor’s information, insurance information without the presence of us parents, her grandparents (name both or one set of grandparents), or our attorney.
Ensure that this document is available in her student profile to advise all those that coordinate, associate, or have access to our child’s school records.
Sincerely yours,
_______ & _______ _______
This document was sent by regular USPS mail on ___________. 2021. ___ ___ (initial)