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CST Referral Student Counselor Information Yes No Student has been previously retained Yes No Student receives speech and language services Student has attendance issues Total absences to date Student has a history of discipline referrals Please attach records relevant to discipline Additional Comments Counselor Signature Nurse Information Student passed vision screening passed hearing screening has medical issues/concerns is on medication Date School Nurse Signature Date.
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How to fill out child study referral page

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How to fill out child study referral page

01
Gather necessary information about the child, such as their full name, date of birth, and current grade level.
02
Contact the child's parents or guardians to inform them about the referral and obtain their consent.
03
Obtain any relevant documentation or reports that provide additional information about the child's educational or behavioral needs.
04
Complete the referral form accurately and thoroughly, ensuring that all required fields are filled out.
05
Include a detailed description of the reasons for the referral, specifying any concerns or observations about the child's academic, social, or emotional development.
06
Attach any supporting documents or evaluations that can further support the need for a child study.
07
Submit the completed referral form to the appropriate individual or department, following the designated procedures of your educational institution.
08
Keep a copy of the referral form and any accompanying documentation for your records.
09
Follow up with the parent or guardian to confirm that the referral has been received and provide any additional information if needed.
10
Maintain confidentiality throughout the referral process, ensuring that sensitive information is shared only with authorized personnel.

Who needs child study referral page?

01
Teachers who have concerns about a student's academic progress, behavior, or learning difficulties may need to fill out a child study referral page.
02
School counselors or psychologists may also need to complete the referral form if they recognize the need for a comprehensive evaluation of a child's needs.
03
Parents or guardians who suspect that their child may require additional support or specialized services can also initiate the referral process by filling out the child study referral page.
04
Administrators or other school staff involved in the decision-making process for providing individualized support or services may need to consult the referral page as well.
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Child study referral page is a form used to refer a child for additional assessments and services to support their learning and development.
Teachers, school administrators, and parents are typically required to file a child study referral page.
To fill out a child study referral page, you must provide information about the child's academic performance, behavior, and any concerns or observations.
The purpose of a child study referral page is to identify and address any learning or developmental needs of a child to support their academic success.
The child study referral page should include the child's name, age, grade level, any concerns or observations, and the reason for the referral.
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