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Green Hills AEA Autism Resource Team Referral Form (PLEASE COMPLETE BOTH PAGES) Date of Referral: Student Name: Birthdate: School District: Building: Parent/Legal Guardian: Phone #: Grade: Address:
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How to fill out green hills aea autism:

01
Start by accessing the Green Hills AEA Autism website or application.
02
Provide your personal information, such as your name, date of birth, and contact details.
03
Follow the prompts to answer questions about your autism diagnosis, including the date of diagnosis, the diagnosing professional, and any additional details or documentation.
04
Fill out information about any current therapies, interventions, or supports that you or your loved one with autism is receiving.
05
Include information about your educational needs, including any special accommodations or services required, such as an Individualized Education Plan (IEP) or Section 504 Plan.
06
If applicable, provide information about any behavioral challenges or medical conditions associated with autism.
07
Complete any additional sections or questions as instructed.
08
Review your answers to ensure accuracy and completeness.
09
Submit the completed form as instructed.

Who needs Green Hills AEA Autism:

01
Individuals with autism who reside within the Green Hills AEA jurisdiction may need to fill out the Green Hills AEA Autism form.
02
Parents or guardians of children with autism who are seeking special educational services or accommodations may need to complete this form.
03
Professionals or educators who are working with individuals with autism and require information on their diagnosis, therapies, and educational needs may also need to access this form.
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Green Hills AEA Autism refers to the reporting system used by Green Hills Area Education Agency to track and support students with autism.
School districts and education professionals working within the Green Hills AEA region are required to file Green Hills AEA Autism reports.
Green Hills AEA Autism reports can be filled out online through the Green Hills AEA website or through the designated reporting system provided by the agency.
The purpose of Green Hills AEA Autism reports is to ensure that students with autism receive appropriate support and services to meet their educational needs.
Information such as number of students with autism, services provided, and progress monitoring data must be reported on Green Hills AEA Autism reports.
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