The Prior Written Notice-No Additional Data Form appears as required in the Initial Joint Review/Consent Event when it is determined no additional data is needed on the Team Conclusions and Decisions page. The Evaluation Chair must provide parent with Prior Written Notice and obtain parental consent.
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Verify all dates entered are accurate particularly when the dates are at least 365 days from the date the form is completed. |
Enter method of provision to parent
Enter 1st Date Sent or Given
Enter a description and explanation of the action
Enter options considered and why rejected
Enter information the action was based on
Enter other relevant factors considered
Enter contact information
Save
Consent Section for an Initial Evaluation
Consent Received
When the PWN is returned with signature for consent, check the Consent box and type in the Parent/Guardian Signature
Enter the Date Signed
Enter the Date Received by the Evaluation Chair
Save
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Send original, signed Prior Written Notice to Word Processing with Initial Referral file when evaluation is completed. |
Consent Refused
If the PWN is returned with signature indicating consent for assessment is refused or the parent indicates in another way they are refusing to give consent, check the Refused box on the form and type in the parent signature if parent signed the form. If the parent did not return the PWN but indicated they are refusing the evaluation, check Refused and type “Parent Refused” on parent signature line.
Enter the Date Signed or the date the parent indicated they are refusing the evaluation.
Enter the Date Received by the Evaluation Chair.
Save
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If parent refused consent, after locking the Initial Joint Review/Consent Event, Phoenix will create an Exit Event to be completed by the Evaluation Chair. |
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Send original signed Prior Written Notice to Word Processing with Initial Referral file. |
No Response/Final Attempt
After sending initial attempt to obtain consent, wait 10 days for a response. If no response, issue a second Notice.
Open Prior Written Notice form and enter date in 2nd Date Sent or Given.
Save
Print
Send to Educational Decision Maker (EDM) along with Areas to be Assessed Form
If second PWN is not returned, contact parent.
Confer with school to determine if case will be dropped or more attempts to obtain consent will be made. If more attempts, repeat step 1 using 3rd Date Sent or Given.
When the team has determined that no further attempts will be made, mark No Response and Final Attempt on Prior Written Notice.
Type No Response on signature line.
Enter the date decision was made that case will be dropped in Date Signed and Date Received fields.
Save
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When there is no response for consent for initial assessment and decision is made to drop the referral and the event is locked, Phoenix will generate an Exit event to be completed by the Evaluation Chair. |
Rescission of Consent
Educational decision makers of students referred for an initial special education evaluation or reevaluation have the right to refuse to provide consent for evaluation or rescind their consent at any time during the evaluation process.
Educational decision makers may rescind their consent after signing the PWN giving their consent to test (verbal or written). The RED meeting must still be convened and a PWN provided even when the educational decision maker disagrees with the initial referral for evaluation.
For further information please refer to the following document: EDM Refusal /Rescission.
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