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Skyline CAP Head Start Suspected Disability Referral If you have a concern about a child in your classroom, a doctor indicated on the Physical Form a concern, or the DIAL 3 score indicates a concern,
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How to fill out suspected disability referral

How to fill out suspected disability referral:
01
Obtain the suspected disability referral form from the appropriate source, such as a doctor's office, school, or government agency.
02
Read the instructions carefully to understand the information required and the purpose of the referral.
03
Enter your personal information accurately, including your full name, contact details, and any identification numbers provided.
04
Provide information about the individual who is suspected of having a disability, including their name, age, and any relevant background information.
05
Describe the specific concerns or symptoms that led to the suspicion of a disability in as much detail as possible.
06
Include any supporting documents or documentation that may help in the assessment process, such as medical records, test results, or previous evaluations.
07
If applicable, provide information about the individual's current educational or employment situation, as well as any accommodations or support they may already be receiving.
08
Review the completed referral form for accuracy and completeness, making sure all required sections have been filled out.
09
Submit the referral form to the designated recipient according to the instructions provided.
Who needs suspected disability referral?
01
Parents or guardians who suspect that their child may have a disability and require a formal evaluation and support.
02
Teachers or educators who have identified signs of potential disabilities in their students and need to initiate the referral process.
03
Healthcare professionals who encounter individuals exhibiting symptoms or conditions that may indicate a disability and need further assessment or specialized care.
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What is suspected disability referral?
A suspected disability referral is a process in which individuals or agencies refer a person who they believe may have a disability for further assessment and evaluation.
Who is required to file suspected disability referral?
Any individual or agency who suspects that a person may have a disability is required to file a suspected disability referral.
How to fill out suspected disability referral?
To fill out a suspected disability referral, the individual or agency must provide detailed information about the person suspected of having a disability, including their personal information, suspected disability, and reasons for the referral.
What is the purpose of suspected disability referral?
The purpose of suspected disability referral is to ensure that individuals who may have a disability receive appropriate assessment and support services.
What information must be reported on suspected disability referral?
Information such as personal details of the individual suspected of having a disability, details of the person making the referral, suspected disability, and reasons for the referral must be reported on suspected disability referral.
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