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SCHOOL BASED REHABILITATION SERVICES Principal Referral Forepart/Guardian has consented to this referralDate:PrintPreferred Language:Client Name:EnglishFrenchOther:MaleFemaleOther:D.O.B.: Address: Name
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How to fill out school based rehabilitation services

01
Step 1: Review the Individualized Education Program (IEP) of the student receiving school based rehabilitation services.
02
Step 2: Identify the specific goals and objectives outlined in the IEP.
03
Step 3: Determine the type of school based rehabilitation services required based on the goals and objectives.
04
Step 4: Collaborate with other members of the student's educational team to develop a plan for delivering the services.
05
Step 5: Prepare the necessary documentation and forms for providing school based rehabilitation services.
06
Step 6: Implement the planned services according to the schedule and guidelines set forth in the IEP.
07
Step 7: Regularly monitor the progress of the student and make any necessary adjustments to the services provided.
08
Step 8: Communicate and collaborate with parents/guardians to ensure they are aware of the school based rehabilitation services being provided.
09
Step 9: Evaluate the effectiveness of the services and make recommendations for any changes or modifications needed.
10
Step 10: Document all aspects of the school based rehabilitation services provided for record keeping and reporting purposes.

Who needs school based rehabilitation services?

01
Students with disabilities or developmental delays who require additional support to participate in educational activities.
02
Students with physical, communication, or cognitive impairments that may impact their ability to fully access the school curriculum.
03
Students who require specialized therapies, such as speech therapy, occupational therapy, or physical therapy, to address specific needs.
04
Students who have been identified as needing support in the areas of social-emotional development or behavior management.
05
Students who have experienced a temporary injury or illness that impacts their ability to fully participate in school activities.
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School based rehabilitation services are a type of therapy or support provided to students with disabilities in a school setting to help them access their education and participate in school activities.
School administrators, special education coordinators, therapists, or other professionals working with students with disabilities are usually responsible for filing school based rehabilitation services.
School based rehabilitation services can be filled out by documenting the services provided to students, including the type of therapy or support, goals, progress, and any modifications made to support the student’s education.
The purpose of school based rehabilitation services is to help students with disabilities reach their educational goals, participate in school activities, and improve their overall quality of life.
Information such as the type of therapy or support provided, goals, progress, modifications made, and outcomes for the student must be reported on school based rehabilitation services.
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