Chambers County Board of Education by 93l430Nn

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									               Chambers County Board of Education
                     Program for Exceptional Children and Youth
                                Diane Sherriff Coordinator
                          P. O. Box 408-D  LaFayette, AL 36862
                          Telephone 334-864-9466  706-586-1985


                                                             Date____________________

             PARENT PERMISSION FOR PHYSICAL THERAPY SERVICES

Dear Parent,

As part of your child’s, __________________’s, current IEP, physical therapy is
recommended. Since you were unable to attend the last IEP meeting, please sign and
date this form giving our physical therapist permission to provide services to your child.

Please return this form as soon as possible. Feel free to ask to reconvene the IEP team if
you have any questions.

Sincerely,



(Teacher’s Name)


_____ I give permission for my child to receive physical therapy services through the
      Chambers County Schools.

_____ I do not give permission for my child to receive physical therapy services through
      the Chambers County Schools.


Parent’s Signature                                                  Date




PECY 10/2000

								
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