Referral for Evaluation (Initial Joint Review Decision) Form
This article will help the user with the form.
Form information
The Referral Form is completed by the School Psychologist after notification is received from the SSD Intake Department.
Verify all dates entered are accurate particularly when the dates are at least 365 days from the date the form is completed.
Choose Y/N to VTS (Voluntary Transfer Student).
Choose Y/N to Non-Public (Special Non-Public Access Program).
Enter Name and Role of each person making the referral.
Choose an area(s) and enter the Description of the Concerns that Prompted the Request.
Choose Parent or District referral. This will activate the fields below the heading, see details in section below.
If required, indicate method of provision and dates for when Procedural Safeguards and Bill of Rights were presented to the parent.
Enter Names and Roles of those making decision. (Joint Review Team)
Indicate if the Review of Existing Data was completed, see detail in section below.
Save
Forms will appear as required based on decision made on this form. If an evaluation is not warranted, a Prior Written Notice will appear as a required form. An Exit Event is generated to be completed and locked.