Region 10 ESC Direct Services Procedures
Shelee Duke, Assistant Director of Special Populations shelee.duke@region10.org972-348-1580Kelly Bevis, Program Coordinator (VI/O&M)kelly.bevis@region10.org972-348-1634
Jasmine Oviedo
Shelley Ratcliff
The Direct Services Request Form is used when contracted services are provided by Region 10 in the areas of adapted PE, occupational therapy, orientation and mobility, physical therapy, and vision impairment. To request evaluations, REEDs, and/or add new or transfer students to a caseload, submit a direct services request form for each student.
Completing a Direct Services Request Form
The Direct Services Request Form is used when contracted services are provided by Region 10 in the areas of adapted PE, occupational therapy, orientation and mobility, physical therapy, and vision impairment. To request evaluations and/or add new or transfer students to a caseload, submit a direct services request form for each student.
When to use: Students who are not in eCare who have consent for evaluation and/or transfers into the LEA.
Log into your eCare Vault account
If no account, create one by going to https://ecarevault.com/; select, LOG IN and “Sign Up Now”
You will be prompted to create a username (Vault Key) and password;
Select your work Google account if your LEA uses Google or
“Sign Up Now” if your LEA does not use Google.
Note: When prompted to enter your “VAULT KEY”, this is your password.
Once signed in, click on the Teams icon on the left side of the screen making sure no student is selected.
Next, click “START A NEW TEAM” at the top right corner of the screen.
The new SERVICE REQUEST FORM will populate.
Complete the form
Guidance …
o Note: Required information is indicated by a RED asterisk
o Type of request: Evaluation Request &/or Transfer Request (select all that apply)
o School Information: Complete all required fields.
o ECI/Daycare/Campus
§ If in daycare and ECI provides services, select ECI
§ If in daycare and child is between 3 and 5 years old, select the student’s home campus
o Child Details: Include the child’s TSDS Number. This number never changes and goes with the student if they transfer to another Texas LEA.
o Eligibility
§ Select primary eligibility -- if the student is currently receiving special education services
§ Initial Eligibility not yet Established, if student has not been evaluated
o Additional Documents
Provide required documents needed to complete evaluations; such as
§ Vision Impairments and/or Orientation and Mobility Evaluations: Eye exam report, low vision evaluation, and/or information containing the eye medical information (i.e., ECI medical report)
§ Physical Therapy: Medical form
o Services
§ Check all that apply for the student & complete corresponding information for each evaluation including due date. Please note the date the evaluation is due to the LEA.
§ Submit the service request a minimum of 30 days prior to the evaluation due date. This ensures Region 10 service providers have the time needed to collect the necessary data to make recommendations and inform the IFSP/ARD Committee.
§ Note: By submitting a direct services request form, it assures Region 10 has consent from the family to conduct the evaluations requested.
Please reach out to any of the following with questions:
Primary contact for eCare related questions: Eboni Williams (Admin Assistant) -- eboni.williams@region10.org; 972-348-1644
Natalie Hereford (Bookkeeper) -- natalie.hereford@region10.org; 972-348-1768
Kelly Bevis (Program Coordinator) – Kelly.bevis@region10.org, 972-348-1634
Shelee Duke (Assistant Director) - Shelee.duke@region10.org, 972-348-1580
The Direct Services Re-evaluation Request Form is used when a student is already receiving one or more service via Region 10 in the areas of adapted PE, occupational therapy, orientation and mobility, physical therapy, and/or vision impairment.
To request a re-evaluations, please follow these steps:
Log in to your eCare Vault Account
Go to the team for the student needing the reevaluation
Click on Forms icon on left hand side
Click on Available forms tab
Locate “Reevaluation form” and click on Self-Assign & Go
The service request form should populate
Complete the form and submit
Word of caution - do not use autofill, as it will mess up the pre-populated fields