Welcome to the Referral page. If you have a student that you feel is in need
of Special Education or a related service, then you have come to the right
place. This page will give you step by step instructions and the appropriate
forms to complete in order to make a referral for Special Education.
NOTE: Beginning with the 2008-2009 school year, all
referrals for special education must go through the RTI process first and RTI
documentation must be attached to the referral. NO Referral should be
accepted without RTI documentation! RTI documentation must be in the areas
of concern that are marked on the referral.
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- Teacher identifies student that is having difficulty or problems.
- Teacher makes referral to RTI committee
- Student completes Tier 1, Tier 2, and Tier 3 of RTI. If Student fails to
make adequate progress in RTI, The school RTI committee will initiate the
standard referral process through Special Education.
- Either RTI Committee or special education teacher requests the following
- Vision Screening
- Hearing Screening
- Speech Screening
- Regular Education Teacher or RTI completes the following form.
- Student Information Sheet is submitted to Special Education
Teacher or ARC Chairperson for review. If information is complete, student passes screenings, and
has no major problems with absenteeism, recent family or emotional concerns
etc. The Special Education Teacher or ARC Chairperson may recommend referral.
- Teacher begins documentation of Researched based interventions using the referral form
in step 8
All Interventions used must be well documented and Research Based or Peer
- Researched based interventions are documented for suspected EBD children for 60 school
days, for others they are documented for 30 school days.
- After interventions have been documented, the Classroom Teacher and/or RTI
the referral using the form below. NOTE: RTI documentation must
- When referral is completed, teacher submits Referral and Intervention
Strategies to Special Education Teacher or School Principal.
- Referral Meeting is scheduled. Referral may be approved or denied by the
- If referral is approved, the ARC will ask parent for permission for
- If referral is denied, the teacher or RTI may have to continue researched
and/or try new researched based interventions with the student for a specific amount of time,
or the committee may decide that more information is needed before the
referral can be accepted.