The parent only completes the form once at the time of enrollment. If they choose not to opt out, there is no need to follow up. If they choose to opt-out (refuse specialized services), then districts should reach out at least annually to remind them of the benefits of the program and give them the opportunity to accept the recommended LIEP components that they initially refused. In either case, there is no need for a parent to complete the form more than once unless they change their mind.