Get the free Assistive Technology Referral Form - Seneca Highlands ... - iu9

Seneca Highlands Intermediate Unit Nine Special Education Services Assistive Technology Referral Form Name DOB School Grade District Teacher(s) Disability/Placement Preschool Classroom Days/Times

How to fill out assistive technology referral form

1. To fill out an assistive technology referral form, start by gathering all the necessary information. This may include personal details such as your name, contact information, and demographic information.
2. Next, identify the reason for the referral. You may be seeking assistive technology for yourself or someone else, so be sure to provide relevant details about the individual who will be using the technology.
3. Specify the type of assistive technology needed. This can range from communication devices to mobility aids or sensory assistive devices. Provide as much detail as possible to ensure the appropriate technology is recommended.
4. Describe the specific challenges or disabilities that the individual is experiencing that necessitate the use of assistive technology. This will help the professionals understand the specific needs and tailor their recommendations accordingly.
5. Include any relevant medical or educational information that may assist in the referral process. This can include diagnoses, medical history, educational plans, or any professional assessments or evaluations that have been conducted.
6. If applicable, indicate any preferred vendors or specific assistive technology devices that have been recommended or requested. This can help streamline the referral process and ensure that the recommended technology aligns with the individual's needs and preferences.
7. Finally, submit the completed referral form according to the instructions provided. This could involve returning the form to a specific department or professional, mailing it to a designated address, or submitting it electronically through an online platform.

Who needs assistive technology referral form?

1. Individuals with disabilities who require assistive technology to enhance their independence, communication, or mobility may need to fill out an assistive technology referral form. This can include individuals of all ages who are experiencing physical, sensory, cognitive, or communication challenges.
2. Students with disabilities who require assistive technology to support their educational needs may also need to go through the referral process. This ensures that appropriate accommodations and technology are provided in the classroom to support their learning and participation.
3. Healthcare professionals, educators, or therapists who work with individuals with disabilities may also be responsible for filling out assistive technology referral forms on behalf of their clients or students. They will gather the relevant information, assess the needs, and make appropriate recommendations for assistive technology devices or services.

Note: The specific process for requesting or obtaining assistive technology may vary depending on the country, healthcare system, or educational institution. It's always recommended to consult with local resources or professionals to ensure you are following the correct procedures.

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What is assistive technology referral form?

Assistive technology referral form is a document used to refer individuals to receive assistive technology services.

Who is required to file assistive technology referral form?

Healthcare professionals, educators, or caregivers may be required to file the assistive technology referral form.

How to fill out assistive technology referral form?

The form typically requires basic information about the individual in need of assistive technology, the type of technology needed, and the reasons for the referral.

What is the purpose of assistive technology referral form?

The purpose of the form is to assess the needs of individuals who require assistive technology and to facilitate the provision of appropriate services.

What information must be reported on assistive technology referral form?

Information such as the individual's name, age, contact information, medical history, and specific needs for assistive technology must be reported on the form.

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