Other Health Disabilities
OHD
Embedded Files
Interview Forms
Parent Interview Form: Gathers data on medical needs, knowledge of condition, independence at home, and homework.
Student Interview Form: Gathers information on school perception, family, extracurricular activities, mood, medical history, and social activity.
Teacher Organizational and Independent Work Skills/Motor Skills Checklist (Infant & Toddler): Gathers data on organizational, work, and motor skills. The teacher rates numerous behaviors based on frequency of observation.
Teacher Organizational and Indpendent Work Skills/Motor Skills Checklist (Pre K-Kindergarten): Gathers data on organizational, work, and motor skills. The teacher rates numerous behaviors based on frequency of observation.
Teacher Organizational and Independent Work Skills/Motor Skills Checklist (Elementary): Gathers data on organizational, work, and motor skills. The teacher rates numerous behaviors based on frequency of observation.
Teacher Organizational and Independent Work Skills/Motor Skills Checklist (Middle/High School): Gathers data on organizational, work, and motor skills. The teacher rates numerous behaviors based on frequency of observation.
Observation Forms
For eligibility in Other Health Disabilities (OHD), documentation of at least one observation in the classroom or other learning environments is necessary. Focus on how the disability affects the learning process.
Momentary Time Sampling: 15 Second Intervals: The observer looks up and records whether a behavior occurs or does not occur at the very end of the interval. It is commonly used to track on-task vs. off-task behavior, but MTS is an ideal observation method for a variety of behaviors where it is difficult to tell exactly when the behavior begins or when it ends and behaviors which occur at such a high rate that it is difficult to keep a count on it.
Systematic Observation Rating Form: The observer makes ratings for various behaviors under the categories of attention, time management/planning, motor/access, and organization/materials.
Additional Resources
Medical Diagnosis Documentation Request Cover Letter Sample
Organizational and Independent Work Skills/Motor Skills Evaluation Write Up Sample
ADHD Executive Functioning Age
Additional forms the team may choose to use when planning for OHD evaluation.
Assessment Planning Document and Criteria Checklist
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