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CONFIDENTIAL REFERRAL FORM To: Program Assistant, MidMichigan CHAP Fax: 810.853.6826 Phone: 810.953.CHAP(2427)Date of Referral: ___ From/Contact Person: ___Phone: ___Referring Entity: ___Fax: ___Medical

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How to fill out rti tier 1 referral

01

Obtain the RTI Tier 1 Referral form from the appropriate department or school office.

02

Fill in the student's name, date of birth, grade level, and other required personal information on the form.

03

Provide a detailed explanation of the reason for the referral, including any relevant background information or concerns.

04

Include any supporting documentation or data that may be helpful in understanding the student's needs.

05

Submit the completed referral form to the designated RTI coordinator or individual responsible for processing referrals.

Who needs rti tier 1 referral?

01

Students who are struggling academically and may benefit from additional support or interventions.

02

Teachers or school staff who have identified a student as needing extra help or resources to succeed in school.

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What is rti tier 1 referral?

RTI Tier 1 referral is the initial step in the RTI (Response to Intervention) process, where a student who is struggling academically is referred for additional support and intervention.

Who is required to file rti tier 1 referral?

Teachers, parents, or school administrators are typically required to file RTI Tier 1 referrals for students who are showing signs of academic difficulty.

How to fill out rti tier 1 referral?

To fill out an RTI Tier 1 referral, the person making the referral must provide the student's information, reason for referral, and any relevant academic performance data.

What is the purpose of rti tier 1 referral?

The purpose of RTI Tier 1 referral is to identify and provide early intervention for students who are struggling academically, in order to help them succeed.

What information must be reported on rti tier 1 referral?

Information such as student's demographics, reason for referral, academic performance data, and any previous interventions must be reported on RTI Tier 1 referral.

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