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SOUTH BEND COMMUNITY SCHOOL CORPORATION Special Education Services 215 South St. Joseph St., South Bend, IN 46601 5742838130; Fax 5742838105 REFERRAL FOR INITIAL MULTIDISCIPLINARY TEAM EVALUATION
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How to fill out initial referral parent:

01
Start by gathering all the necessary information about the parent, such as their full name, contact information, and address.
02
Next, make sure to have the child's details available, including their name, age, and school information.
03
Fill out any medical or health-related information that may be relevant, such as allergies, existing medical conditions, or medications the child is taking.
04
Provide a brief description of the reason for the referral, whether it is for academic support, counseling, or any other specific need.
05
Include any previous assessments or evaluations that have been conducted for the child, along with their results, if applicable.
06
If there are any specific goals or expectations for the child's development or progress, make sure to state them clearly in the referral form.
07
Provide any additional information or concerns that may be relevant to the referral, such as any behavioral or emotional issues the child may be experiencing.
08
Double-check all the information provided before submitting the referral to ensure accuracy and completeness.

Who needs initial referral parent?

01
Parents or legal guardians of children who require additional support, intervention, or services.
02
Educators or school staff who have identified a child in need of specialized assistance.
03
Health professionals who are involved in the child's care and believe they could benefit from additional resources or interventions.
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Initial referral parent refers to the first contact or submission made by a parent to request services for their child.
Parents or legal guardians of children who may need services are required to file the initial referral.
The initial referral parent form can usually be filled out online or submitted in person at the relevant agency or organization.
The purpose of the initial referral parent is to officially request services or assistance for a child who may need additional support.
The initial referral parent form typically requires information about the child, their current situation, and the specific services or support being requested.
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