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ASSISTIVE TECHNOLOGY TEAM REFERRAL: Communication Evaluation What do you hope the student will be able to do as a result of this evaluation? Which IEP goals will be addressed? Legal Name of Child/Student
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How to fill out assistive technology team referral

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How to fill out assistive technology team referral:

01
Start by gathering all the necessary information required for the referral. This may include the individual's name, contact details, age, and any relevant medical or educational history.
02
Begin the referral form by clearly stating the purpose of the referral. Explain why the individual needs assistive technology and how it will benefit them.
03
Provide detailed information about the individual's current abilities and limitations. Include any relevant diagnoses, assessments, or evaluations that support the need for assistive technology.
04
Describe the specific types of assistive technology that may be beneficial for the individual. This may include communication devices, mobility aids, sensory tools, or any other relevant equipment.
05
If there are any specific brands or models of assistive technology that have been recommended, make sure to mention them in the referral form.
06
Explain the goals and objectives that the individual hopes to achieve with the use of assistive technology. This can include improved communication skills, increased independence, or enhanced educational opportunities.
07
Provide any additional supporting documentation, such as medical reports, therapy notes, or previous assistive technology trials, that can further strengthen the referral.

Who needs assistive technology team referral?

01
Individuals with physical disabilities who require assistance with mobility, communication, or daily activities may need an assistive technology team referral.
02
Students with learning disabilities, sensory impairments, or cognitive challenges may require the support of an assistive technology team to enhance their educational experience.
03
Individuals with communication disorders, such as speech or language impairments, may benefit from assistive technology tools to facilitate their communication abilities.
04
People with visual impairments who need access to specialized devices or software to increase their independence and accessibility may also require an assistive technology team referral.
Overall, anyone who faces challenges in their daily lives due to physical, sensory, or cognitive impairments and could benefit from assistive technology should consider seeking a referral from an assistive technology team.
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Assistive technology team referral is a process where individuals can request an evaluation for assistive technology services.
Students, parents, teachers, or other school staff members may file an assistive technology team referral.
Assistive technology team referral forms can be filled out by providing relevant information about the student's needs and educational goals.
The purpose of assistive technology team referral is to identify and provide appropriate assistive technology services to support students with disabilities.
Information such as student's name, school, disability, current services, and reasons for requesting assistive technology evaluation must be reported on the referral form.
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