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Date of Referral: ___Systems of Care Wraparound Referral Harvey County Wraparound Referral FOR ELIGIBILITY DETERMINATION All requested information MUST be provided. Incomplete forms will be returned

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How to fill out special education referral for

01

Gather all relevant information about the student including academic, behavioral, and medical history.

02

Contact the school's special education coordinator or counselor to discuss your concerns and request a referral form.

03

Complete all sections of the referral form accurately and thoroughly, providing detailed information about the student's needs and challenges.

04

Submit the completed referral form to the appropriate school personnel and participate in any necessary meetings or evaluations.

05

Follow up with the school to ensure that the referral process is moving forward and that the student is receiving the support they need.

Who needs special education referral for?

01

Students who are struggling academically and/or behaviorally despite interventions and support in the general education classroom.

02

Students who have been diagnosed with a disability or medical condition that may impact their learning and require specialized services.

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What is special education referral for?

Special education referral is for identifying students who may have a disability and need specialized instruction and services to help them succeed in school.

Who is required to file special education referral for?

Teachers, parents, or other school staff who suspect a student may have a disability are required to file a special education referral.

How to fill out special education referral for?

Special education referral forms typically require information about the student's behavior, academic performance, and possible areas of need.

What is the purpose of special education referral for?

The purpose of special education referral is to ensure that students with disabilities receive the support and accommodations they need to be successful in school.

What information must be reported on special education referral for?

Information such as the student's name, grade level, suspected disability, and reasons for referral must be reported on a special education referral form.

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