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Dyslexia Referral Form (Spanish for Bilingual Students) Student s Name ID# Date of Birth Gender Grade School Teacher Section A: Teacher s Evaluation (This section should be completed by the student

How to fill out dyslexia referral form in

How to Fill Out a Dyslexia Referral Form:

1. Start by obtaining a dyslexia referral form from your child's school or educational institution. These forms are typically provided by the special education department or the school psychologist.
2. Fill out the basic information section of the referral form. This includes your child's full name, date of birth, grade level, and contact information.
3. Provide a brief overview of your concerns about your child's learning abilities or any specific challenges they may be experiencing. This could include difficulties with reading, spelling, writing, or comprehension.
4. Specify any previous assessments or evaluations that have been conducted to address your child's learning difficulties. If your child has already received any type of intervention or support, mention the details in this section.
5. Indicate whether your child has any existing medical conditions or learning disabilities that are known to impact their learning abilities. This information can be valuable in understanding your child's overall educational needs.
6. Explain why you believe dyslexia may be a factor in your child's learning difficulties. Provide specific examples of the challenges they face and how it affects their academic performance.
7. Include a written consent for your child to undergo a dyslexia evaluation, as this form may be required to obtain required testing or special education services.

Who Needs a Dyslexia Referral Form?

1. Students who are struggling with reading, spelling, writing, or comprehension despite receiving appropriate instruction and interventions may need a dyslexia referral form.
2. Parents or guardians who have concerns about their child's learning abilities, particularly in the areas of reading and writing, can request a dyslexia referral form.
3. Teachers or educational professionals who suspect that a student may have dyslexia or a related learning disability can initiate the process by filling out a dyslexia referral form.

Remember, it's crucial to consult with the appropriate professionals, such as school psychologists or special education coordinators, to ensure the proper evaluation and support are provided for students suspected of having dyslexia.

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What is dyslexia referral form in?

Dyslexia referral form is a document used to refer individuals suspected of having dyslexia for further evaluation and support.

Who is required to file dyslexia referral form in?

Educators, parents, or medical professionals who suspect an individual may have dyslexia are required to file the dyslexia referral form.

How to fill out dyslexia referral form in?

To fill out the dyslexia referral form, one must provide detailed information about the individual's symptoms, educational history, and any previous evaluations or assessments.

What is the purpose of dyslexia referral form in?

The purpose of the dyslexia referral form is to initiate the process of evaluating individuals suspected of having dyslexia and provide them with appropriate support and interventions.

What information must be reported on dyslexia referral form in?

The dyslexia referral form must include information about the individual's symptoms, educational background, any previous evaluations, and contact information for the referring party.

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