Background (E2)

Medical Notes:

• Vision and Hearing Screening information from the Nurse

• Medical Diagnosis from doctors

• Report on medications student is taking

If student has a medical diagnosis - the school needs medical verification from appropriate medical personnel prior to considering medical diagnosis as part of special education eligibility.

Note: Written medical verification is required for the following eligibilities: OHI, OI, TBI, VI and HI.

B: Educational history:

• Attendance History

• Grade History

C: Review of Previous Evaluations/Assessments: Summary of results and data information

Initial: Any screening information from related services

ReEval: Import data from prior evaluations - List prior evaluations by date

• Psycho-Education Evaluation

• Speech/Language Evaluation

• Audiology/Hearing Impairment Evaluation

• Visual Specialty Evaluation

• Occupational Therapy Evaluation

• Physical Therapy Evaluation

• Adapted P.E. Evaluation

• Behavior Specialist

• Service Coordinator: Special Education Teacher progress monitoring information

• Counselor

• Other

Psycho-Education Evaluation

WECHSLER INTELLIGENCE SCALE FOR CHILDREN IV

(VC) Verbal Comprehension

(VS) Visual Spatial / (PR)Perceptual Reasoning

(FR) Fluid Reasoning

(WM) Working Memory

(PS) Processing Speed

Full Scale

WOODCOCK-JOHNSON TESTS OF ACHIEVEMENT-III

Reading

Reading Fluency

Passage Comprehension

Math Calculation

Applied Problems

Written Language

STUDENT demonstrated a significant difference of -18 or higher between his expected achievement (x) and the actual achievement scores in the areas of letter word identification (x), applied problems (x), spelling (x), passage comprehension (x), broad reading (x), broad math (x), brief reading (x), brief math (x), broad written language (x), brief writing, academic skills (x), and academic applications (x).