Get the free Learning Disabilities Referral form (PDF, 200KB) - Haringey Council - haringey gov

LEARNING DISABILITIES PARTNERSHIP REFERRAL FORM What you tell us will be used to help us decide how we may be able to help. Date of Referral????????.. 1. TITLE Mr Mrs Ms NAME First Name: Date of Birth:

How to fill out learning disabilities referral form

How to fill out a learning disabilities referral form:

1. Start by obtaining a copy of the referral form from the relevant authority or educational institution.
2. Carefully read through the instructions provided on the form. Make sure to understand the purpose of the referral form and the information required.
3. Begin by providing your personal details such as name, address, contact information, and any identification numbers required (e.g., student ID or social security number).
4. Fill in the section that concerns the student's information. This may include their name, date of birth, current school or institution, grade level, and any other relevant details.
5. Clearly state the reason for the referral, mentioning the specific concerns or issues related to the student's learning abilities that prompted the need for assessment or intervention.
6. Include a detailed description of the student's academic history, including any previous interventions or accommodations that have been tried, as well as any notable achievements or challenges.
7. If applicable, provide information about any medical or psychological evaluations the student has undergone related to their learning disabilities. Include the dates, names of the professionals involved, and the results or recommendations provided.
8. It is important to include any additional documents or reports that may support the referral, such as teacher observations, progress reports, or assessment results.
9. Ensure that all sections of the form are completed accurately and legibly. Take your time to review the information provided before submitting the form.
10. Finally, if there are any specific requirements for submitting the referral form (e.g., sending it via mail, hand-delivering it to a specific office), make sure to follow the instructions provided.

Who needs a learning disabilities referral form?

1. Students who are experiencing persistent learning difficulties or challenges in their academic performance may require a learning disabilities referral form.
2. Teachers, parents, or caregivers who have concerns about a student's learning and suspect the presence of a learning disability may initiate the need for a referral form.
3. The referral form is commonly used by educational institutions, special education departments, or organizations involved in the assessment and intervention of learning disabilities.

For pdfFiller’s FAQs

What is learning disabilities referral form?

The learning disabilities referral form is a document used to refer a student for evaluation and assessment to determine if they have a learning disability.

Who is required to file learning disabilities referral form?

Parents, teachers, or other educational professionals who suspect a student may have a learning disability are required to file the learning disabilities referral form.

How to fill out learning disabilities referral form?

To fill out the learning disabilities referral form, you need to provide relevant information about the student's academic performance, behavior, and any previous interventions or assessments. The form typically requires personal details, a description of concerns, and signatures from the appropriate individuals.

What is the purpose of learning disabilities referral form?

The purpose of the learning disabilities referral form is to initiate the process of evaluating and assessing a student to determine if they have a learning disability. It helps identify students who may need additional support and accommodations to succeed in their education.

What information must be reported on learning disabilities referral form?

The learning disabilities referral form usually requires information such as the student's name, age, grade level, school, details of the concern or observation, any previous interventions or assessments, and contact information for the involved individuals.

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