Exceptional Children's Program / IEP Forms

Annual Medicaid Notification-Spanish
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Annual Medicaid Notification--Spanish.docx, 17.34 KB (Last Modified on April 22, 2013 )

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One Time Medicaid Consent-Spanish
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One Time Medicaid Consent---Spanish.docx, 17.30 KB (Last Modified on April 22, 2013 )

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Medicaid One Time Consent
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Medicaid One time consent.doc, 83.00 KB (Last Modified on April 22, 2013 )

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Medicaid Annual Notice
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Medicaid Annual Notice without Watermark English.doc, 85.50 KB (Last Modified on April 22, 2013 )

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SST Behavior Request
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Behavior Support Procedures.docx, 15.67 KB (Last Modified on April 18, 2013 )

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Speech Educational Eval PreK
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Pre-K Educational Evaluation for Speech.doc, 37.00 KB (Last Modified on April 17, 2013 )

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Speech Educational Eval K-12
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Speech Eduicational Evaluation K.12.docx, 26.01 KB (Last Modified on April 17, 2013 )

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Documentations of Screenings
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Screenings.docx, 13.69 KB (Last Modified on April 16, 2013 )

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Speech Language Form
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Speech Language Form.doc, 57.00 KB (Last Modified on April 9, 2013 )

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Speech-Meeting Without a Meeting
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Meeting without a meeting.docx, 13.86 KB (Last Modified on April 2, 2013 )

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Spanish Social History
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Social History new form spanish.docx, 34.67 KB (Last Modified on February 6, 2013 )

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Medical Eval for Multi-handicapped
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med eval for mu.docx, 14.00 KB (Last Modified on February 6, 2013 )

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Consent for Release
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consent for release.docx, 14.12 KB (Last Modified on February 6, 2013 )

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Medical Eval Orthopedically Impaired
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orthopedically impaired.docx, 15.55 KB (Last Modified on February 6, 2013 )

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Medical Eval Severe Profound
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severe profound.docx, 13.90 KB (Last Modified on February 6, 2013 )

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Appointment of Surrogate Parent pg2
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appointment of surrogate parent-pge2.docx, 12.99 KB (Last Modified on February 6, 2013 )

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Appointment of Surrogate Parent pg1
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APPOINTMENT OF SURROGATE PARENT-pg1.docx, 17.02 KB (Last Modified on February 6, 2013 )

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Summary of Performance
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Summary of performance.docx, 14.49 KB (Last Modified on February 6, 2013 )

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Medical Eval for OHI
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med eval for ohi.docx, 14.17 KB (Last Modified on January 16, 2013 )

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Medical Eval for TBI
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Medical Evaluation for traumatic b injury.docx, 14.29 KB (Last Modified on January 16, 2013 )

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Parent Invitation Spanish
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Copy of invitation-parent-spanish.doc, 41.50 KB (Last Modified on January 16, 2013 )

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Dismissal Form
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dismissal report.docx, 13.96 KB (Last Modified on January 16, 2013 )

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Invitation to Conference under 18 Spanish
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student-under18-Spanish.doc, 41.50 KB (Last Modified on January 16, 2013 )

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Invitation to Conference 18 or older Spanish
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student-over 18-spanish-2.doc, 43.50 KB (Last Modified on January 16, 2013 )

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Invitation to Conference 14 to 17
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Student Invitation to Conference 14 to 17_with interpretation.doc, 43.00 KB (Last Modified on January 16, 2013 )

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Invitation to Conference 18 or older
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Invitation to Conference for students 18 or older with interpretation.doc, 41.00 KB (Last Modified on January 16, 2013 )

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Invitation to Conference
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Invitation to Conference.doc, 47.00 KB (Last Modified on January 16, 2013 )

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Special Education Referral Form
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Special Education Referral Form.docx, 29.76 KB (Last Modified on January 9, 2013 )

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Medicaid Letter-Spanish
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Spanish Parental Consent Revised Spanish.docx, 17.98 KB (Last Modified on October 31, 2012 )

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Medicaid Letter-English
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Medicaid Letter to Parents Revised-English.docx, 16.45 KB (Last Modified on October 31, 2012 )

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Exceptional Children Retained for 2011-12
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Exceptional Children Retained for 2011-12.docx, 13.37 KB (Last Modified on August 20, 2012 )

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Notification of Accommodations
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notification ofaccommodations.docx, 20.10 KB (Last Modified on August 20, 2012 )

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Directions DEC 5a
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Directions 5a.doc, 40.50 KB (Last Modified on January 10, 2012 )

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English DEC 5a
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English 5a.doc, 45.50 KB (Last Modified on January 10, 2012 )

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Spanish DEC 5a
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Spanish 5a.doc, 44.50 KB (Last Modified on January 10, 2012 )

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Alternative Ed Referral Form
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Alternative_Ed_Referral_Form.doc, 43.50 KB (Last Modified on January 10, 2012 )

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DCS FAPE
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DCS FAPE.doc, 37.50 KB (Last Modified on January 10, 2012 )

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DEC 4
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DEC_4.doc, 377.00 KB (Last Modified on November 8, 2011 )

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Extended School Year Documentation-11
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Extended_School_Year_Documentation-11.doc, 23.50 KB (Last Modified on November 7, 2011 )

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Homebound Procedures
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Homebound Procedures.docx, 13.69 KB (Last Modified on February 15, 2012 )

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Homebound Form for Regular Ed.
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HB_Form_for_Reg_Ed.doc, 24.00 KB (Last Modified on November 7, 2011 )

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Case Management Form
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Case_Management_Form.doc, 30.00 KB (Last Modified on November 7, 2011 )

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Student Transfer Form
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Exceptional_Children-strans_form-010-11_(1).doc, 24.00 KB (Last Modified on November 7, 2011 )

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DEC 5
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Prior_Written_Notice-11-12.doc, 52.00 KB (Last Modified on October 18, 2011 )

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Physician's Statement
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Physicians_Statement.doc, 23.50 KB (Last Modified on November 7, 2011 )

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Physician's Statement Attachment
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Physicians_Statement_Attachment.doc, 23.00 KB (Last Modified on September 2, 2011 )

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Related Services Daily Log
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Related_Services_Daily_Log.doc, 54.50 KB (Last Modified on September 1, 2011 )

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Therapy Log
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Therapy_Log.xls, 23.50 KB (Last Modified on September 1, 2011 )

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ESY worksheet
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ESY_worksheet.doc, 44.00 KB (Last Modified on April 18, 2011 )

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Annual Medicaid Notification-Spanish

One Time Medicaid Consent-Spanish

Medicaid One Time Consent

Medicaid Annual Notice

SST Behavior Request

Speech Educational Eval PreK

Speech Educational Eval K-12

Documentations of Screenings

Speech Language Form

Speech-Meeting Without a Meeting

Spanish Social History

Medical Eval for Multi-handicapped

Consent for Release

Medical Eval Orthopedically Impaired

Medical Eval Severe Profound

Appointment of Surrogate Parent pg2

Appointment of Surrogate Parent pg1

Summary of Performance

Medical Eval for OHI

Medical Eval for TBI

Parent Invitation Spanish

Dismissal Form

Invitation to Conference under 18 Spanish

Invitation to Conference 18 or older Spanish

Invitation to Conference 14 to 17

Invitation to Conference 18 or older

Invitation to Conference

Special Education Referral Form

Medicaid Letter-Spanish

Medicaid Letter-English

Exceptional Children Retained for 2011-12

Notification of Accommodations

Directions DEC 5a

English DEC 5a

Spanish DEC 5a

Alternative Ed Referral Form

DCS FAPE

DEC 4

Extended School Year Documentation-11

Homebound Procedures

Homebound Form for Regular Ed.

Case Management Form

Student Transfer Form

DEC 5

Physician's Statement

Physician's Statement Attachment

Related Services Daily Log

Therapy Log

ESY worksheet