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Schooled Services Referral CONFIDENTIAL Fax to 6135453557Questions? Call 6135443400 × 3175 or Toll Free: 18555443400 ext. 3175 Referrals will not be processed without the following supporting documentation

How to fill out school-based services referral

How to fill out school-based services referral

1. To fill out a school-based services referral, follow these steps:
2. Obtain a school-based services referral form from the school or designated office.
3. Fill in the student's personal information, including name, date of birth, and contact details.
4. Provide relevant details about the student's academic and behavioral performance that indicate the need for school-based services.
5. Include any supporting documents, such as previous assessments, reports, or recommendations from professionals.
6. Specify the type of services required, such as counseling, speech therapy, occupational therapy, etc.
7. Indicate any specific goals or objectives for the student's involvement in the school-based services program.
8. Sign and date the referral form.
9. Submit the completed form to the appropriate school personnel or office responsible for school-based services.
10. Follow up with the school to ensure that the referral has been received and processed accordingly.
11. It is essential to provide accurate and detailed information in the referral to ensure appropriate services are offered to the student.

Who needs school-based services referral?

1. A school-based services referral is needed for students who require additional support and intervention within the school setting.
2. This may include students who have learning disabilities, speech or language impairments, behavioral challenges, developmental delays, or other special needs.
3. The referral helps identify students who would benefit from school-based services, enabling them to receive the necessary assistance and resources to succeed academically and socially.
4. Additionally, students who may be experiencing difficulties due to personal circumstances, such as trauma or mental health concerns, may also require a school-based services referral.

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What is school-based services referral?

School-based services referral is a process through which students are referred to specific support services available in their school or community, aimed at addressing their educational, emotional, or developmental needs.

Who is required to file school-based services referral?

Typically, teachers, school counselors, or other school personnel are required to file school-based services referrals when they identify a student who may benefit from additional support services.

How to fill out school-based services referral?

To fill out a school-based services referral, one must provide detailed information regarding the student's needs, describe the observed behaviors or issues, and include relevant demographic information such as the student's name, grade, and contact information.

What is the purpose of school-based services referral?

The purpose of school-based services referral is to facilitate access to necessary support services for students, ensuring they receive appropriate assistance to succeed academically and socially.

What information must be reported on school-based services referral?

The school-based services referral must report the student's name, date of birth, grade, specific concerns or issues, observations from staff, and any prior interventions attempted.