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Special Education Resource Unit 72A Marlborough Street. Henley Beach SA 5022. Tel 08 8235 2871. Fax 08 8235 1907. Email admin@seru.sa.edu.au.
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How to fill out pre-referral form for special

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How to fill out a pre-referral form for special education:

01
Start by clearly identifying the student in question, providing their full name, student ID number, and grade level.
02
Describe the reason for the referral, highlighting specific concerns or observations regarding the student's academic, behavioral, or social-emotional development.
03
Include relevant background information about the student, such as their previous educational history, any previous assessments or interventions, and any relevant medical or psychological diagnoses.
04
Explain the specific areas in which the student is struggling or exhibiting difficulties, providing concrete examples or data whenever possible.
05
Document any interventions or accommodations that have been implemented and their impact on the student's progress. Include details about the duration, frequency, and effectiveness of these interventions.
06
Offer suggestions for further assessments or evaluations that may help in identifying the student's needs, such as psychological assessments, speech and language evaluations, or occupational therapy assessments.
07
Include input from other professionals who have worked with the student, such as teachers, therapists, or school psychologists, if available.
08
Conclude the form with any additional comments or concerns that may be relevant to the referral, ensuring that all information is clear, concise, and accurately reflects the student's needs.
09
Submit the completed form to the appropriate personnel, such as the special education coordinator or the school's child study team.

Who needs a pre-referral form for special education?

01
Teachers or educators who have observed persistent difficulties or concerns regarding a student's academic, behavioral, or social-emotional development in the classroom.
02
Parents or guardians who have noticed ongoing challenges in their child's learning or overall well-being and wish to request additional support or interventions.
03
School administrators or support staff who have been informed about a student's difficulties and need to initiate a formal assessment or evaluation process to determine their eligibility for special education services.
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The pre-referral form for special education is a document used to request assistance from the school's special education team for a student who is struggling academically or behaviorally.
Teachers, parents, or other school staff who have concerns about a student's performance are required to file a pre-referral form for special education services.
Pre-referral forms for special education typically require information about the student's behavior, academic performance, interventions already attempted, and specific concerns that prompted the referral.
The purpose of a pre-referral form for special education is to document concerns, interventions, and observations about a student before a formal evaluation for special education services is requested.
Information such as student's name, grade, concerns, interventions attempted, teacher observations, and parent input should be reported on a pre-referral form for special education.
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