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Special Education Counseling Referral Form Date Person making request Students Name Date of Birth Grade Case Manager Parent/Guardian Name Address Home Phone # Cell # Work # Reason(s) for referral:

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What is special education counseling pre-referral?

Special education counseling pre-referral is a process in which professionals work together to support students who are struggling academically, behaviorally, or emotionally before referring them for special education services.

Who is required to file special education counseling pre-referral?

Teachers, counselors, and other school staff members are typically required to file special education counseling pre-referral forms when they suspect a student may benefit from additional support services.

How to fill out special education counseling pre-referral?

Special education counseling pre-referral forms can typically be filled out by documenting the student's specific concerns, interventions that have been tried, and the outcomes of those interventions. Forms may also include information about the student's academic performance, behavior, and emotional well-being.

What is the purpose of special education counseling pre-referral?

The purpose of special education counseling pre-referral is to try to address the student's difficulties early on and prevent the need for more intensive special education services. It allows for a collaborative approach to supporting students and helping them succeed in the general education setting.

What information must be reported on special education counseling pre-referral?

Information that must be reported on special education counseling pre-referral forms typically includes the student's name, grade level, specific concerns, interventions attempted, outcomes of those interventions, academic performance, behavior, and emotional well-being.

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