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Learning Disabilities INTAKE SCREENING (TO PRINT, CLICK ON PRINT ICON AT BOTTOM OF PAGE) Date: Name: Birth date: Address: Student ID#: Phone # Email Gender: Ethnicity: Who referred you to our program?
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How to fill out learning disabilities intake screening

How to fill out learning disabilities intake screening:
01
Start by carefully reading the instructions provided with the screening form. Make sure to understand the purpose and specific requirements of the screening.
02
Gather all necessary information and documents that may be required for the screening. This may include personal identification documents, medical records, or previous assessments.
03
Begin by providing your personal information accurately. This may include your name, age, address, contact details, and any other relevant information requested.
04
Answer all the questions on the screening form honestly and to the best of your knowledge. If you are unsure about any question, you can leave it blank or indicate your uncertainty.
05
Take your time to understand each question and its implications. Some questions may require you to recall specific incidents or experiences, while others may focus on your abilities or challenges in certain areas.
06
Be thorough in providing details for each question. Include relevant information, examples, or specific incidents that help to illustrate your experiences or challenges.
07
If the screening form provides space for additional comments or explanations, utilize it to provide any additional information that you believe is important to understanding your situation.
08
Ensure that all sections of the screening form are completed. Double-check your responses for accuracy and clarity before submitting the form.
09
Submit the completed screening form as instructed. Follow any additional guidelines or procedures provided for submission, such as online submission or mailing the form to a specific address.
Who needs learning disabilities intake screening?
01
Individuals who suspect they may have learning disabilities or have experienced challenges in learning, such as difficulties with reading, writing, math, or comprehension.
02
Students who are struggling academically and require additional support or accommodations in educational settings.
03
Parents or caregivers who have concerns about their child's learning abilities or notice persistent difficulties in academic performance.
04
Teachers or educators who notice persistent challenges or differences in learning abilities among students and want to initiate appropriate interventions or support.
05
Educational institutions or organizations that require screenings as part of their admission or evaluation process to determine appropriate academic accommodations or support services.
06
Medical professionals who may need to assess an individual's learning abilities or disabilities for diagnosis, treatment, or referral purposes.
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What is learning disabilities intake screening?
Learning disabilities intake screening is a process used to identify individuals who may have learning disabilities and determine the need for further evaluation and support.
Who is required to file learning disabilities intake screening?
Parents, teachers, psychologists, or healthcare professionals may be required to file learning disabilities intake screening for an individual.
How to fill out learning disabilities intake screening?
Learning disabilities intake screening can be filled out by providing relevant information about the individual's academic performance, behavior, and any concerns about their learning abilities.
What is the purpose of learning disabilities intake screening?
The purpose of learning disabilities intake screening is to identify individuals who may have learning disabilities early on and provide them with the necessary support and resources.
What information must be reported on learning disabilities intake screening?
Information such as the individual's academic history, behavior, any previous evaluations or assessments, and specific concerns about their learning abilities must be reported on learning disabilities intake screening.
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