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Macomb Intermediate School District Support and Related Services Maple Lane 37623 Garfield Suite 110 Clinton Twp., MI 48036 (586)4122600 FAX(586)4128419 PHYSICAL THERAPY REFERRAL FORM Student: Date:
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How to fill out district referrals for programs

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How to fill out district referrals for programs

01
Obtain a district referral form from the program coordinator or the administration office.
02
Fill out the personal information section, including your name, address, and contact details.
03
Provide the details of the program you are referring to, such as its name, location, and any specific requirements for eligibility.
04
If any supporting documentation is required, gather and attach them to the referral form. This may include medical records, income statements, or other relevant documents.
05
Ensure you have obtained all necessary signatures, including yours and any required program personnel.
06
Double-check all the information provided to ensure accuracy and completeness.
07
Submit the filled-out referral form to the designated office or program coordinator.
08
Keep a copy of the filled-out referral form for your records.

Who needs district referrals for programs?

01
District referrals for programs are typically required by individuals who want to access specific services or benefits offered by the district. This can include but is not limited to:
02
- Students seeking special education programs or services
03
- Families applying for financial assistance programs
04
- Individuals seeking mental health or counseling services
05
- Community members looking to participate in district-run programs or events
06
It is essential to check with the specific program or service to determine if a district referral is necessary and who needs to fill it out.
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District referrals for programs are a formal process used to request or recommend a student for a specific program or intervention within a school district.
Teachers, school counselors, school psychologists, and other school staff members may be required to file district referrals for programs.
District referrals for programs can typically be filled out by completing a form provided by the school district and including relevant information about the student's needs and reasons for the referral.
The purpose of district referrals for programs is to identify students who may benefit from additional support or specialized interventions to help them succeed academically, socially, or emotionally.
District referrals for programs may require information such as the student's name, grade level, specific concerns or needs, previous interventions tried, and any relevant assessment or evaluation results.
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