PSYCHOLOGICAL EVALUATION AND by Q7V1AXe

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									                        Houston Independent School District
                        Office of Special Education Services
                                 Child Study Division




Initial Evaluation Packet:
    NA                                                                           Reviewed
                                 Required Information                             by Lead



         H_Student_Status_Report

         Response to Intervention/Personal Graduation Plan Report (if
         appropriate)

         Referral for Disability Evaluation Form (Ensure the referral question
         and scope of evaluation are clear)
         Signed parental consent for Full and Individual Evaluation
         Notice of Full and Individual Evaluation with Test Description
         Receipt of Procedural Safeguards
         Behavioral Rating Scale
         Language Rating Scale
         Home Language Survey
         Sociological
         Work Samples (include as needed)
         Report Cards (current grades and grades for last two years)
         For Speech Referrals Include:
               Parent Language Survey (Speech referrals)
               Teacher Language Survey (Speech referrals)
               Articulation Observation Form (Speech referrals)
               Parent Fluency Survey (Speech referrals)

								
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