This is the form to opt-out of referrals to the MGH Evaluation Team in the event that your child has a substance use-related infraction at school or a school-sanctioned event. Please remember that a referral to our team does NOT sign you or your child up for any of our activities. It simply allows us to call you to tell you about our program. Written parental consent will be required for all further interactions with your child if he/she is under the age of 18. There is no penalty or consequence to you or your child for opting out of the referral process.

This form has space to opt out up to three children. If you would like to opt more than three children out, or if you have any questions or concerns, please contact us at

Para preencher o formulário de Opção de não Participação iDECIDE em português, clique aqui:

Si desea completar el formulario de exclusión de iDECIDE en español, haga clic aquí:

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