Forms - Special Ed
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Special Education Rules Title 511 Article 7 Rules 32-49:
Article 7
Navigating the Course: A Companion Guide to Article 7
Navigating the Updated Components of: Special Considerations and Behavior (IIEP) Word Document
Navigating the Updated Components of: Special Considerations and Behavior (IIEP) PDF Document
Notice of Procedural Safeguards and Parent Rights in Special Education
Notice of Procedural Safeguards and Parent Rights in Special Education (Spanish)
Parent Request for Evaluation Procedures
Education Evaluation Flowchart
Eligibility Criteria Rule 40:
Eligibility Criteria Rule 40
Eligibility Criteria Form for Autism Spectrum Disorder
Diagnostic Criteria Form for Autistic Disorder
Diagnostic Criteria Form for Asperger's Syndrome
Eligibility Criteria Form for Blind-Low Vision
Eligibility Criteria Form for Cognitive Disability
Eligibility Criteria Form for Deaf or Hard of Hearing
Eligibility Criteria Form for Deaf-Blind
Eligibility Criteria Form for Developmental Delay
Eligibility Criteria Form for Emotional Disability
Eligibility Criteria Form for Language or Speech Impairment
Eligibility Criteria Form for Multiple Disabilities
Eligibility Criteria Form for Orthopedic Impairment
Eligibility Criteria Form for Other Health Impairment
Eligibility Criteria Form for Specific Learning Disability
Eligibility Criteria Form for Traumatic Brain Injury
Other Forms:
FBA Forms
Social and Development Form 103
Social and Development Form 109
IEP Review and Revision
Permission to Administer Evaluations
Permission to Administer Evaluations in Spanish
Permission for Exit Evaluation
Authorization for Release of Information in English
Authorization for Release of Information in Spanish
Written Notice of Initial Findings and Proposed Actions
Written Notice of Proposed Initial Educational Evaluation or Request for Consent
Written Notice of a School's Refusal to Conduct an Initial Educational Evaluation
Written Notice of a School's Refusal to Conduct a Reevaluation
Services Provided to Non-Public School Students Log
Notification of Request for Educational Evaluation (Form 101)
Consent for Re-evaluation Form
Discipline Process for 504 student
Request for Homebound Instruction
Extended School Year Services:
Technical Assistance Document: Determining the Need for Extended School Year Services
Extended School Year Services Decision-Making Guide
Transition Services:
Article 7 Definition of Transition and Other Information
Spanish Transition Handbook for Parents
Sample Letter Parent/Guardian Survey
Individualized Transition Plan Student Inventory
Individualized Transition Plan Parent/Guardian Inventory
Individualized Transition Plan Parent/Guardian Inventory in Spanish
Future Outcomes/Goals Assessment (ESTR-J)
Vocational Rehabilitation Referral Form and Provider Lists
Autism:
Emotional Disability:
Kindergarten Recovery Time Think Sheet
First Grade Recovery Time Think Sheet
Grades 3, 4, and 5 Think Sheet
Let's Write About It Reflection Sheet
Physical/Occupational Therapy:
Procedures for Physical and Occupational Therapy
Occupational and Physical Therapy Referral Checklist
Speech:
Speech Language Occupational Therapy Referral
Audiology and Speech Language Service Documentation Sheet
Letter to parents
Consultation Progress Notes
Classroom Teacher Consultation
Individual Student Report
Student Assistance Team:
Plymouth Community School's Student Assistance Team Referral Form
Plymouth Community School Corporation's Student Assistance Team Guidelines
LJH RTI Process 2012-2013
PHS RTI Process 2012-2013
504:
Eligibility Conference Summary
Parent Consent for 504 Plan Implementation