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Attachment to C4S11T12 ACT Referral Process 1. Clinical Services Program Manager (ACT) receives an official ACT Referral Form from Primary Responsible Worker×Referral Source. The ACT Manager checks

How to fill out act referral process form

How to Fill Out ACT Referral Process Form

1. Start by obtaining the ACT referral process form. This form can usually be found on the official ACT website or obtained from your school's guidance counselor.
2. Carefully read through the instructions provided on the form. Make sure you understand the purpose of the form and the information that needs to be provided.
3. Begin filling out the form by entering your personal details such as your name, date of birth, and contact information. Ensure that all information is accurate and up to date.
4. Next, provide information about your school, including its name, address, and the name of your guidance counselor or school administrator who will be submitting the referral.
5. Indicate the reason for the referral. This may include specific accommodations needed for testing, a request for alternate testing arrangements, or any other relevant information regarding your circumstances.
6. If applicable, provide any supporting documentation or assessments that may be necessary for the referral process. This could include medical records, psychoeducational evaluations, or letters from healthcare professionals.
7. Review the completed form for any errors or omissions. Double-check that all sections have been filled out accurately and completely.
8. Sign and date the form, indicating your consent and agreement with the information provided.
9. Submit the completed form to the appropriate individual or office as instructed on the form. This may be your guidance counselor, school administrator, or directly to the ACT organization, depending on the instructions provided.
10. Keep a copy of the completed form for your records.

Who Needs ACT Referral Process Form?

1. Students who require accommodations for testing due to a disability or medical condition may need to fill out the ACT referral process form.
2. Students who are unable to take the ACT under standard conditions and require alternate testing arrangements may also need to complete this form.
3. The ACT referral process form is typically used by individuals who need special accommodations or modifications to ensure a fair and equitable testing experience. This may include individuals with physical disabilities, learning disabilities, or other health-related conditions that may impact their ability to perform on the standard test format.

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What is act referral process form?

The act referral process form is a document used to request that a specific action be taken in relation to a particular issue or concern.

Who is required to file act referral process form?

Any individual, organization, or government agency that wishes to initiate the referral process is required to file the act referral process form.

How to fill out act referral process form?

To fill out the act referral process form, you must provide detailed information about the issue or concern, the desired action to be taken, and any supporting documentation.

What is the purpose of act referral process form?

The purpose of the act referral process form is to formally request action on a specific issue or concern and ensure that the appropriate individuals or authorities are made aware of the request.

What information must be reported on act referral process form?

The act referral process form must include details about the issue, the desired action, and any relevant supporting documentation.