Get the free REFERRAL FOR ASSITIVE TECHNOLOGY EVALUATION

JOHNSTON PUBLIC SCHOOLS Special Services REFERRAL FOR ASSISTIVE TECHNOLOGY EVALUATION Date: Name of Child: DOB: School: Grade: Teacher: Annual IEP Review Date: Reveal Date: TEAM PARTICIPANTS: Parent

How to fill out referral for assitive technology

How to fill out a referral for assitive technology:

1. Start by gathering all relevant information about the individual who needs the assistive technology. This includes their name, contact information, date of birth, and any other details that are necessary for the referral process.
2. Next, identify the specific type of assistive technology that the individual requires. This could include devices such as wheelchair ramps, hearing aids, or communication devices. Be as specific as possible to ensure the correct equipment is provided.
3. Consult with the individual's healthcare provider or therapist to obtain any necessary medical documentation or assessments that support the need for the assistive technology. This may include medical records, test results, or therapy notes.
4. Fill out the referral form completely and accurately. Provide all required information, including the individual's personal details, medical history, and specific needs for the assistive technology. Double-check the form for any errors or omissions before submitting it.
5. Submit the referral form to the appropriate organization or agency responsible for providing the assistive technology. This may be a healthcare provider, government agency, or non-profit organization. Follow their specific instructions for submitting the referral, whether it is online, by mail, or in person.
6. Keep a copy of the referral form for your records. This will serve as a reference in case there are any issues or delays in the process. Stay in touch with the organization to ensure that the referral is being processed and to address any questions or concerns that may arise.
7. Follow up with the individual's healthcare provider or therapist to ensure that the referral has been received and processed. If there are any complications or delays, they can provide guidance on how to proceed.
8. Track the progress of the referral and stay informed about any updates or changes. This will help ensure that the individual receives the necessary assistive technology in a timely manner.

Regarding who needs a referral for assistive technology:

1. Individuals with disabilities who require specialized equipment or devices to improve their functional abilities may need a referral for assistive technology.
2. This can include individuals with physical disabilities, sensory impairments, communication disorders, or cognitive challenges.
3. A referral is often required to access funding or services that cover the cost of the assistive technology. The referral helps verify the need for the equipment and ensures that it is provided to those who require it most.
4. The specific requirements for a referral may vary depending on the country, healthcare system, or organization providing the assistive technology. It is important to consult with the appropriate professionals or agencies to understand the referral process in your specific situation.

For pdfFiller’s FAQs

What is referral for assistive technology?

Referral for assistive technology is a formal request made by a qualified individual or organization to obtain assistive technology devices or services for a person with disabilities.

Who is required to file referral for assistive technology?

The referral for assistive technology can be filed by a qualified professional such as a doctor, therapist, or educator who is knowledgeable about the individual's disability and needs.

How to fill out referral for assistive technology?

The referral for assistive technology should include the individual's personal information, details of the disability, specific needs for assistive technology, and any relevant medical or educational records.

What is the purpose of referral for assistive technology?

The purpose of referral for assistive technology is to ensure that individuals with disabilities have access to the appropriate assistive technology devices and services that can help improve their quality of life and independence.

What information must be reported on the referral for assistive technology?

The referral for assistive technology should include the individual's name, date of birth, diagnosis, contact information, specific needs for assistive technology, and any relevant medical or educational records.

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