Get the free Referral for Multi-Disciplinary Evaluation - JCPS

E L P M A Student DisciplinaryReferral Form Jefferson County Public SchoolsStudents Name: Race/Sex: ECE: Grade: Class Period/Time: Administrators Name: Date: Referring Teacher: Interventions Prior

How to fill out referral for multi-disciplinary evaluation

How to fill out referral for multi-disciplinary evaluation

1. To fill out a referral for multi-disciplinary evaluation, follow these steps:
2. Begin by gathering all relevant information about the individual who needs the evaluation. This may include their personal details, medical history, and any previous evaluations or assessments.
3. Identify the purpose of the evaluation and the specific areas or disciplines that need to be included. Multi-disciplinary evaluations typically involve professionals from various fields such as psychology, speech therapy, occupational therapy, and education.
4. Contact the appropriate professionals or agencies who can conduct the evaluation. These may include licensed psychologists, therapists, or specialized evaluation centers.
5. Provide the necessary information and documentation to the professionals or agencies conducting the evaluation. This may involve completing referral forms, answering questionnaires, and providing relevant records or reports.
6. Cooperate and communicate with the evaluation team throughout the process. They may require additional information or clarification and may also request meetings or interviews with the individual being evaluated.
7. Once the evaluation is complete, review the findings and recommendations provided by the evaluation team. These can help guide intervention plans, accommodations, or support services for the individual.
8. Follow up with the evaluation team or professionals to discuss any further steps that may be required, such as additional assessments or specialized interventions.
9. Maintain confidentiality and ensure that all evaluation-related information is handled securely and confidentially.

Who needs referral for multi-disciplinary evaluation?

1. Referral for multi-disciplinary evaluation may be needed by individuals who require a comprehensive assessment across multiple domains. This can include children or adults with suspected developmental delays, learning disabilities, behavioral concerns, or other conditions that require input from different specialists.
2. Common examples of individuals who may need a referral for multi-disciplinary evaluation include children with complex learning needs, individuals with suspected autism spectrum disorder, individuals with traumatic brain injuries, and individuals with suspected neurodevelopmental disorders.
3. The decision to seek a referral for multi-disciplinary evaluation usually involves parents, caregivers, or professionals who have observed significant challenges or difficulties in an individual's functioning. It is important to consult with relevant professionals or agencies to determine if a multi-disciplinary evaluation is appropriate and beneficial for the individual.

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What is referral for multi-disciplinary evaluation?

Referral for multi-disciplinary evaluation is a process where a student is referred for evaluation by a team of professionals from various disciplines to assess their educational needs and develop an appropriate plan.

Who is required to file referral for multi-disciplinary evaluation?

Referral for multi-disciplinary evaluation can be filed by parents, teachers, or other school personnel who suspect that a student may have a disability and require special education services.

How to fill out referral for multi-disciplinary evaluation?

Referral for multi-disciplinary evaluation can be filled out by contacting the school's special education department and requesting an evaluation for the student in question.

What is the purpose of referral for multi-disciplinary evaluation?

The purpose of referral for multi-disciplinary evaluation is to determine if a student has a disability that requires special education services and to develop an Individualized Education Program (IEP) that meets their unique needs.

What information must be reported on referral for multi-disciplinary evaluation?

The referral for multi-disciplinary evaluation should include the student's name, age, grade level, a description of concerns, relevant medical history, and any other relevant information about the student's educational needs.