Related Services (OT/PT/SLP/AC)

Gross Motor Checklist
OT Checklist 2019

Referrals for Related Services

Intervention strategies need to be tried and documented prior to the referral:

  • If interventions are not successful then complete the appropriate checklist and submit

  • Signed Written Consent for Evaluation with Evaluation Planning Meeting Minutes are required for all related service referrals

    • Contact the related service providers prior to filling out and obtaining consent for evaluation. They must be a part of the Evaluation Planning.

Related Services can be provided to students with a 504 plan.

  • The criteria for OT/PT support for a 504 student is the same as that defined for IDEA eligible students.

  • Consult with your Student Services Administrator for additional information.

Forms below to assist you in the process, always contact the related services provider during the evaluation planning process.