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IDEA

Forms:
Health and Developmental History, revised March 2015
Vision and Hearing Screening form
Form for School Psychologists and Speech-Language Therapists:
Review and Acceptance of Psychological and/or Speech Evaluation Form (for transfers)
Procedures for Sending Documents to Special Services (Checklist - Purple Handout)

Medicaid Forms:
**Please Note: the Consent for Medicaid Reimbursement (form #2) and the Medicaid Annual Notification (form #1) may be created in Enrich. See the attached handout with steps for printing these forms from Enrich below.
1. NOTIFICATION OF USE OF PUBLIC BENEFITS-Page 1 of 2 Revised June 2016

The following forms must be generated in Enrich (e.g. through specific actions):
Notice of Meeting
  • Programs page -> Add Action -> Select type of action/meeting -> Select a previously created meeting or click,"Create New Meeting" -> Enter info. for meeting details -> Save and Print

Consent for an Initial Evaluation (generated through the Referral Meeting Action)

  • Guidance Counselors are Team Lead (Please refer to the handout created for referral meetings - Login to access)

Consent for the Initial Provision of Special Education Services

  • Generated by new Team Lead (Special Education Teacher or Speech-Language Therapist) for new placements only
  • Go to Programs page -> Add Action -> Select form (Initial Consent for Special Education Services) -> Enter data into form -> Save and Print 

Consent for Reevaluation 

  • Generated through the Reevaluation Review Action by Team Lead
  • Go to Programs page -> Add Action -> Reevaluation Review -> Enter data into all sections of the form -> Save and Print (enter appropriate "Outcome" option dated the date signed consent was received, refused, or not returned)

Notice of Transfer of Rights at the Age of Majority 

  • Generated through the Transition IEP by the Team Lead
  • Select appropriate options when answering questions for the Notice of Meeting for the IEP
  • Print the IEP and provide the student with a copy of the notice printed (last page)




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