• Parent Permission to Assess
• FBA Referral
• ABC Observation Form
• FBA Form
• FBA Worksheet
• FBA Hypothesis
• Teacher Interview
• Parent Interview
• Student Interview

New ReEval

• Parent Input for ReEval
• Classroom Teacher Observation
• Special Education Teacher Observation
• Related Services Provider Observation
• Summary Report Sections I & II
• Summary Report Section IV
• Summary Report Section V
• Link to all Section III's

New Problem Solving Team Forms

• PS Team Instructions
• PS Team Refferal Form
• Intervention Documentation
• Exclusionary Factors
• Team Notes and Decisions

Response To Intervention (RTI) - State

• HEART Procedure Manual
• Template for RTI Guidelines
• RTI Decision Tree
• RTI Q&A
• RTI Powerpoint
• RTI Planning Checklist
• RTI School Readiness for Implementation

Assessment Manual by Jeff Moore, Ed.S., L.C.S.W.

Updated Conference Summary

Parent Permission for Comprehensive Screening, for the guardians to indicate permission (or not) for the school to screen their child

Permission for Assessment, to screen for Special Education services; it has a back page that explains each type of assessment listed

Request for Special Transportation, complete and fax to Rebecca Campbell

Eligibility Report, to document eligibility for Special Education services and the instructions for completing it. Save it to your own hard drive because depending on your default printer's setup, you may have to reset a few tabs to get the check boxes to line up. Or here is the Eligibility Report as a PDF file.

Release of Information, the letter guardians sign so Sevier County can either send or get a student's Special Education records

 

 

Package for Requesting Homebound Services
These are in Adobe PDF file format.

Cover Letter to Parents and Students Requesting Homebound Services, from the Director of Special Education

Request for Homebound Services, the form to complete

Homebound Medical Form, the doctor's medical evaluation (for use with other-than pregnancy-related requests)

Homebound for Pregnancy Form, the physician's verification

Homebound for Pregnancy Information, two pages of questions, answers, and advice

Release of Information, permission for the school system to get information to and from the physician

Parent Acknowledgement, consent for the teacher to come to the home

SCS Anecdotal Record, for documenting day-to-day incidental reports to students' records. You may want to print this one on green paper to match what is currently in the files.

 

 

 

 

Manifestation Determination Review includes a step-by-step worksheet.

Manifestation Determination Questionnaire in MS Word, a 2-page version, similar to the FBA worksheets and checklists.

Manifestation of Handicapping Condition Decision behavior or attendance record's correlation to the handicapping condition (a checklist form).

Flexible Inservice Credits, for professional staff to document the 6 (or more) hours of inservice time required each year.