This form must be completed with appropriate signatures and sent to speced@rcdsb.on.ca. 

Ensure Step 1 Self Test is performed an indicates a screening is recommended before completion of this form (see Irlen Screening tab for instructions).

This form is completed and sent to speced@rcdsb.on.ca and cc brashc@rcdsb.on.ca.  Cindy Brash will later be in contact to schedule a date and time for the screening.  

This form is used when RCDSB staff are disclosing information to outside agencies.

This form is used when outside agencies are disclosing information to RCDSB Staff. 

Use this form to create emergency evacuation plans for students with evacuation support requirements. Do not put emergency evacuation plans in a safety plan.