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ASSISTIVE TECHNOLOGY TEAM REFERRAL: Communication Evaluation What do you hope the student will be able to do as a result of this evaluation? Which IEP goals will be addressed? Legal Name of Child/Student
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How to fill out assistive technology referral form-communication

01
Gather all the necessary information required for the referral form.
02
Start by filling out the personal details section of the form, including the individual's name, contact information, and any identification numbers if applicable.
03
Continue to the communication assessment section, and carefully fill out the details regarding the individual's communication needs and the specific assistive technology required.
04
Provide any relevant medical information or previous assessments that support the need for assistive technology in communication.
05
Fill out the section on current communication methods and devices used, including any limitations or challenges faced with the current setup.
06
Include any additional relevant information or notes in the designated section of the referral form.
07
Review the completed referral form to ensure all information is accurate and complete.
08
Submit the referral form as instructed, either through mail, email, or the designated online portal.
09
Keep a copy of the completed referral form for future reference and follow up if needed.

Who needs assistive technology referral form-communication?

01
Individuals with communication disabilities who require assistive technology in order to effectively communicate.
02
This can include individuals with speech impairments, language disorders, hearing loss, or any other condition that affects their ability to communicate verbally.
03
The assistive technology referral form is necessary for those individuals who would benefit from specialized devices, software, or tools that aid in communication.
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Assistive technology referral form-communication is a document used to request assistive technology devices or services for communication purposes.
Individuals with disabilities who require assistive technology for communication are required to file the referral form.
The form can be filled out by providing personal information, describing the communication needs, and requesting specific assistive technology devices or services.
The purpose of the form is to ensure that individuals with communication disabilities receive the necessary assistive technology to effectively communicate.
The form must include personal information, communication needs, requested assistive technology devices or services, and any relevant documentation.
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