Follow the steps to fill out the special education referral form online.

1. Click ‘Get Form’ button to acquire the referral form and open it in your digital interface.
2. Complete the required student information section, including the student's name, parent or guardian details, and contact information such as work and home phone numbers.
3. Enter the student's birthdate, age, primary language, and LEP status in the designated fields to ensure accurate identification of needs.
4. Indicate who referred the student and provide the date of referral. This helps track the request process.
5. Fill in the student’s grade and site, ensuring that all relevant details are accurate.
6. In the ‘Reason for Referral’ section, select the major areas of concern and briefly describe the child's behavior or performance in each checked area. Circle the area that you consider the highest priority.
7. Provide a summary of existing information, including dates of any previous solution team referrals and prior evaluations. Indicate if the child has received tutoring and whether the parent/guardian has been informed of the concerns.
8. Complete the screening results by providing vision and hearing screening dates and results, including attendance records for the current and previous school years.
9. List any attachments that support the referral, such as the solution team referral form, parent questionnaires, documentation of interventions, and evaluation results.
10. If applicable, describe any solution team interventions in detail, specifying the target behavior or learning need, the intervention description, and the outcome.
11. Review all entries for accuracy, then save your changes, download, print, or share the completed form as needed.

Complete your special education referral form online today to ensure timely support for your student.