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RTI

A1	Screening Permission
A2	Academic Quick Facts {K-5} (rev. 10-11)
A3	Academic Quick Facts {6-8} (rev. 10-11)
A4	Academic Quick Facts ~ Grades 9-12 (rev. 5/2011)
A5	Behavior RTI Quick Facts {K-8} (rev. 10-11)
A6	Behavior RTI Quick Facts {9-12}
A7	District RTI Behavioral Procedures {K-8} (rev. 10-11)
A8	District RTI Behavioral Procedures {9-12}
A9	District RTI Academic Procedures {K-5} (rev. 10-11)
A10	District RTI Academic Procedures {6-8} (rev. 10-11)
A11	District RTI Academic Procedures {9-12} (rev. 5/2011)
A12	RTI Parent Letter - Notification of Services (HCS)
A13	RTI Parent Letter - Graduation From Services (HCS)
A14	Non-classroom Area Procedures Worksheet
A15	RTI Prereferral Process (6/2011)
A16	School Behavior Support Team Intervention Planning Form {K-8}
A17	School Behavior Support Team Intervention Planning Form {9-12}
A18	School Behavior Support Team Request Form {K-8}
A19	School Behavior Support Team Request Form {9-12}
A20	HCS - Motor Screening Form (Instrument)
A21	HCS - Motor-Sensory Concerns Checklist
A22	HCS - RTI Procedures for OT/PT Evals
A23	RTI Strategies - Motor
A24	ELL Prereferral - Evaluation Procedures (rev. 1/2011)
A25	Summary of Request for Eval of an ELL Student
A26	Academic RTI (2/2011)
A27	RTI Case Summary Chart

 
Speech/Language RTI

B1	Final Fluency RTI Plan
B2	Final Language RTI Plan
B3	Final Speech Sounds RTI Plan
B4	Fluency Data Sheet
B5	Language Data Sheet
B6	Rubric for Tier Determination (1/19/2011)
B7	SLP Resource List
B8	Speech RTI Process
B9	Speech Sound Data Sheet
B10	Teacher Intervention Guide for Fluency
B11	Teacher Intervention Guide for Language
B12	Teacher Intervention Guide for Speech Sounds

Referral 

C1	Referral for Multi-Disciplinary Evaluation (11-12) Must be completed in IC!!!
C2	HCS - Referral for Multidisciplinary Evaluation Checklist (9-2010)
C3	Revocation of Authorization for Appointment of a Representative for Educational Decisions
C4	Authorization for Appointment of a representative for Educational Decisions
C5	Statement of Authorization for Representation
C6	Checklist Pre-Referral, Initial Referral Placement (Rev. 8/2/11)
C7	Determination of Student Representative (09-10)

 

Referral Meeting

D1	Meeting Notice/Invitation (11-12) Must be completed in IC!!!
D2	Procedural Safeguards
D3	Referral for Multi-Disciplinary Evaluation (11-12) Must be completed in IC!!!
D4	Conference Summary (11-12) Must be completed in IC!!!
D5	Referral Meeting Notes Page (rev. 1/2011)
D6
D7	Consent to Evaluate/Re-evaluate
D8	Parent Contact Log  {May also be completed in IC}
D9	Access to Records Log (11-12) (Inspection of Student Records Log)
D10	Social and Developmental History

Initial Evaluation Results Meeting

E1	Procedural Safeguards
E2	Conference Summary (11-12) For reference only!!! Must Complete in IC!!!
E3	MDT Evaluation (w/related services reports) or Comm. Written Report w/KEG
E4	Eligibility Forms (see eligibility forms section)
E5	Initial Evaluation Meeting Notes (rev. 8/2011)
E6	IEP - Individual Education Plan (if applicable) (11-12) Must be completed in IC!!!
E7	BIP - Behavior Intervention Plan (if applicable)
E8	Consideration for Exclusionary and Determinant Factors Protocol
E9	Accommodations Determination 09-10 HCS
E10	HCS Confidential Notice of Special Education Student/IEP Needs
E11	T5 - Special Transportation
E12	Participation Guidelines for Alternate Assessment
E13	IEP Extra Goals Page Must be completed in IC!!!
E14	Consent for Special Education and Related Services (11-12)
E15	Consent for Continuing Special Education and Related Services (8/2011)

Eligibility 

F1	Autism
F2	Deaf/Blind
F3	Developmental Delay (11-12)
F4	Emotional Behavior Disorder
F5	Functional Mental Disorder
F6	Hearing Impaired (11-12)
F7	Mild Mental Disability
F8	Multiple Disabilities
F9	Orthopedically Impaired
F10	Other Health Impaired
F11	Specific Learning Disability (11-12)
F12	Speech Language
F13	Traumatic Brain Injury
F14	Visually Impaired
F15	OHI Supplementary Eligibility Checklist - ADHD
F16	OHI Supplementary Eligibility Checklist - Health Condition

Annual Review 

G1	Meeting Notice/Invitation (11-12) Must be completed in IC!!!
G2	Due Process Procedural Checklist for Annual Review
G3	Procedural Safeguards
G4	Conference Summary (11-12) For reference only!!! Must Complete  in IC!!!
G5	Current IEP for Review (Must be obtained from Infinite Campus)
G6	IEP/BIP progress monitoring data
G7	Draft IEP to consider
G8	Current BIP to review (if applicable)
G9	Draft BIP to consider (if applicable)
G10	Current IHP to review (if applicable)
G11	Draft IHP to consider (if applicable)
G12	Accommodations Determination 09-10 HCS
G13	HCS Confidential Notice of Special Education Student/IEP Needs (optional)
G14	Transportation (T-5) (if applicable)
G15	Participation Guidelines for Alternate Assessment
G16	ILP/4 Year Plan (if applicable)
G17	Transfer of Rights (at age 17)
G18	Destruction of Special Ed. Records (if applicable - seniors)
G19	ACT Accommodations Consent (if applicable - sophomores going to be juniors)
G20	Medicaid forms for related services
G21	Due Process Procedural Checklist - Preschool
G22	Excusal Agreement (rev.09-10)
G23	Summary of Academic Achievement and Functional Performance (if applicable - graduating/exiting students)

Consent to Conduct Re-evaluation Meeting

J1	Meeting Notice/Invitation (11-12) Must be completed in IC!!!
J2	Procedural Safeguards
J3	Conference Summary (11-12) For reference only!!! Must Complete  in IC!!!
J4	Last MDT Evaluation (w/related service reports) or Comm. Written Report w/KEG
J5
J6	Consent to Evaluate/Re-evaluate
J7	Developmental and Social History Update

Review of Re-evaluation Results Meeting

K1	Meeting Notice/Invitation (11-12) Must be completed in IC!!!
K2	Procedural Safeguards
K3	Conference Summary (11-12) For reference only!!! Must Complete IEP in IC!!!
K4	Re-evaluation Results - PR Meeting Notes Page1 (rev. 1/2011)
K5	MDT Evaluation (w/related services reports) or Comm. Written Report w/KEG
K6	Eligibility Form(s) (see eligibility forms section)

Reevaluation Review Meeting

L1	HCS - Re-evaluation Review (Re-evaluation Review Summary Form/Review of Records)
L2	Meeting Notice/Invitation (11-12) Must be completed in IC!!!
L3	Procedural Safeguards
L4	Conference Summary (11-12) For reference only!!! Must Complete in IC!!!
L5	Re-evaluation Results - PR Meeting Notes Page1  (rev. 1/2011)
L6	IEP/BIP Progress Monitoring Data
L7	Consent to Evaluate/Re-Evaluate (check "no additional information needed")
L8	Eligibility Form(s) (see eligibility forms section)
L9	Teacher Interview/Observation for Re-evaluation Review

Behavior/Discipline 

M1	BIP - Behavior Intervention Plan {also located in IC}
M2	Behavioral Observation
M3	Behavioral Log
M4	Archival Records Review
M5	FBA Referral Form (Rev. 3/2011)
M6	FBA Parent/Student Interview
M7	FBA Teacher Interview
M8	FBA - Functional Behavior Assessment (11-12)
M9	Scatter Plot
M10	Medication Effects Rating Scale

Healthcare for Special Needs 

N1	Medical Consent
N2	Emergency Treatment Plan
N3	Health Services Plan
N4	Program Plan Training
N5	Special Health Care Services Record
N6	Feeding - Eating Record
N7	Medicaid Services Log
N8	Special Health Care Guidelines {4 documents in 1}
N9	Parent-Guardian Request for Specialized Physical Health Care Services
N10	Authorization for Administration of Specialized Physical Health Care Services
N11	Health Care Procedures Daily Log
N12	Medication Effects Rating Scale

Transition 

P1	Permission Letter - Transition Survey
P2	Transition Survey - Student
P3	Transition Survey - Parent
P4	WTP - Policies and Procedures (HCS) (rev. 2/2010)
P5	WTP - Parent Information & Consent Form
P6	WTP - Parent Consent to Continue
P7	WTP - Referral Form
P8	WTP - Intake Form
P9	WTP - Eligibility Form
P10	WTP - Student Work Agreement Form
P11	WTP - Student Expectation Sheet
P12	WTP - Improvement Plan
P13	Letter of Consent: Consent for OVR
P14	Letter of Consent: Other Outside Agencies (Exchange/Release of Records - KDE)

 Other Forms 

Q1	Access to Records Log (11-12) (Inspection of Student Records Log)
Q2	NIMAS Eligibility
Q3	Request for Materials
Q4	Rubric Template
Q5	IC Enrollment Information (09-10)
Q6	Consent Letter for Other Outside Agencies - HCS
Q7	KDE - Consent for Exchange-Release of Records
Q8	Letter of Consent: Consent for OVR
Q9	ARC Meeting Forms Checklist (09-10)
Q10	Testing Accommodations Tracking TOR List
Q11	Medical Exception
Q12	ACT Accommodations 2010-11
Q13	ESY-Extended School Year Guidelines
Q14	Social Work/Service Coordinator Student Referral Form
Q15	Social Work/Service Coordinator Referral Information
Q16	Transportation (T-5)
Q17	Home Hospital / IEP Services Plan
Q18	Multi-Year Accommodation Review
Q19	Rubric Template
Q20	Non-Programmatic IEP Change

Section 504 

R1	Annual Review Checklist
R2	Accommodation Plan - Vertical (504-H)
R3	Accommodation Plan - Horizontal (504-H)
R4	Conference Summary Report (504-E)
R5	Notice of Sect. 504 Eligibility/Non-Eligibility (504-J)
R6	Eligibility Determination (504-G)
R7	Evaluation Summary (504-F)
R8	Manifestation Determination Review for 504 (11-12)
R9	Notice of Conference for 504
R10	Parent Notice of Sect. 504 Referral
R11	Qualified Professionals Input
R12	Student Referral Form (504-A)
R13	Consent for 504 Eligibility Evaluation
R14	Accommodation/Modification Determination (combined)