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HANCOCK MADISON SHELBY EDUCATIONAL SERVICES
1834 Fields Boulevard
Greenfield, IN 46140
REQUEST FOR PSYCHOEDUCATIONAL EVALUATION PACKET
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How to fill out request for psychoeducational evaluation

Who needs a request for psychoeducational evaluation?
01
Parents or guardians of a child who is showing signs of learning difficulties or academic challenges may need to fill out a request for a psychoeducational evaluation. This evaluation can help identify any underlying learning disabilities or other factors that may be affecting the child's academic performance.
02
Teachers or educators who have noticed consistent struggles or discrepancies in a student's learning abilities may also initiate a request for a psychoeducational evaluation. This can provide valuable insights into the student's strengths and weaknesses, enabling the development of appropriate educational strategies and interventions.
03
Individuals who suspect that they may have a learning disability, attention deficit disorder (ADD), or attention deficit hyperactivity disorder (ADHD) can also initiate a request for a psychoeducational evaluation. This evaluation can help clarify any learning or attention-related issues and provide recommendations for appropriate support and accommodations.
How to fill out a request for psychoeducational evaluation:
01
Begin by addressing the letter to the appropriate recipient, such as the principal of the school or the director of special education. Include the date and your contact information at the top of the page.
02
In the opening paragraph, clearly state that you are requesting a psychoeducational evaluation for yourself or your child. Identify the purpose of the evaluation, such as concerns about learning difficulties, academic challenges, or suspected learning disabilities.
03
Provide a detailed description of the concerns or challenges you or your child are experiencing. Be specific about any academic, behavioral, or emotional difficulties that may be impacting learning. Include examples to illustrate these concerns, such as specific subject areas where struggles are occurring or any observable difficulties in cognitive or social development.
04
Share any relevant background information, such as previous evaluations, medical records, or interventions that have been attempted. This can help provide a comprehensive understanding of the individual's educational history and any previous attempts to address the concerns.
05
Request a comprehensive psychoeducational evaluation that includes a variety of assessments and measures. This may involve cognitive testing, academic assessments, social-emotional evaluations, and other relevant measures that can provide a thorough understanding of the individual's strengths, weaknesses, and learning style.
06
Indicate your willingness to provide any necessary consent forms or to meet with the appropriate school personnel to discuss the evaluation process further. Include your preferred method of contact and any specific timeframes that may be important for the evaluation to be conducted in a timely manner.
07
Finally, express your gratitude for considering the request and emphasize the importance of early intervention and appropriate support for individuals with learning difficulties. Sign the letter and provide any necessary additional documentation, such as consent forms or medical records, if requested.
Remember to keep a copy of the request for your records and follow up with the appropriate school personnel if you do not receive a response within a reasonable timeframe.
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What is request for psychoeducational evaluation?
A request for psychoeducational evaluation is a formal document submitted to request an assessment of a student's educational needs, typically to determine if they require special education services.
Who is required to file request for psychoeducational evaluation?
The request for psychoeducational evaluation can be filed by a student's parent, guardian, teacher, or school administrator.
How to fill out request for psychoeducational evaluation?
The request for psychoeducational evaluation typically requires information about the student's background, educational history, and any concerns about their learning or behavior.
What is the purpose of request for psychoeducational evaluation?
The purpose of the request for psychoeducational evaluation is to assess a student's learning needs and determine if they require special education services or accommodations.
What information must be reported on request for psychoeducational evaluation?
Information such as the student's name, date of birth, grade level, school attended, reasons for requesting the evaluation, and any relevant medical or educational history must be included in the request for psychoeducational evaluation.
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