Disabilities Forms

Form Name Purpose
45 Day Screening Parent Notice To notify parents regarding different types of screening the child will be tested on.
Breakdowns for Disabilities Referral Outlines path of disabilities referral between LEA and DACHS
Classroom Observation Identifies areas of concern in whole class setting
DACHS Letter for Special Services Letter notifying parents that their child will receive special services
DACHS Procedure for Disabilities Referral Outlines steps taken to request assistance for child in need
Denver II Assessment Scoring form to assess strengths/weakness of child
Denver II Summary Report Overview of childs developmental abilities on Denver II Assesment
Denver II Parent Questionnaire / Cuestionario de Denver II para Los Padres To obtain parent observations in Denver II categories
Denver II EHS Parent Questionnaire / Cuestionario de Denver II EHS para Los Padres To obtain parent observations in Denver II categories
Denver Developmental Activities (4 to 5 years) Activities designed to help parents assist children in acquiring basic skills.
Disabilities Objectives / Objetivos de Services de Incapacidades Outline goals on Disabilities Content Area
Disability Referral Checklist Lists steps in process from teacher concern to IEP
Documentation Need for documenting contact with parents or related service providers about a child
Parent & Child Rights in Special Education / Derechos de los Padres y del/la niño/a en Educación Especial Informs parents of their rights as parents to obtain appropriate education for their child
Parent/ Guardian Permission to Reveal or Obtain Confidential Information / Permiso par Dar u Obtener Informacion Confidencial Allow DACHS permission to obtain essential information from outside agency regarding student
Qualified Special Services Guidelines to document when related services comes to work with a student(s) in your classroom
Referral and Release Form Allows DACHS to forward referral to appropriate LEA requires parent signature
Sign-In for Related Services Sign-in sheet for related service providers who come to work with a child
Sign-In for Related Services EHS Sign-in sheet for related service providers who come to work with a child
Teacher/ Disability Worksheet Form used to notify Disabilities Specialist of teacher concerns regarding a child