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Dothan City Schools

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    Exceptional Student Services

    • Exceptional Student Services
      • Exceptionalities
      • Available Services
    • Gifted and Learning in Consultation (LinC)
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    • Dothan City Schools
    • Special Education Process Forms
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    • Special Education Referral and Reevaluation Forms

      PST/Parent Referral for Special Education Evaluation 811

      This packet contains the following:  Psychometrist Checklist; Intervention Parent Letter/Consent; Parent Request for Testing; Vision and Hearing Screeners; ECEC Documentation Form; Appropriate Instruction Forms; Work Sample Analysis; Accommodations/Interventions Documentation Form; Special Education Referral 

      Structured Observation Form

      Unstructured Observation Form

      Referral for Vision Evaluation

      Referral for Hearing Evaluation

      Pyschometrist - Parent Interview for ASD

      Psychometrist - ED Decision Making Tool

      Psychometrist - General Education Teacher Input

      Anecdotal Records Form

      DCS Teacher-Parent Interview for Behavior

      Functional Vision and Hearing Screener

      Information Release

      PSW Worksheet AL adapted model 

      PST Supplemental Services Referral

      CVF Forms: Autism, Developmental Delay, Emotional Disability, Intellectual Disability, Other Health Impairment, Specific Learning Disability, Speech or Language Impairment, Reevaluation Process, More...

       


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    • IEP Related Forms

      These forms may be necessary for IEP Development, Compliance, and Services.

      ALSDE Website

      Alabama Courses of Study

      Request for Teacher Input for IEP Meeting

      Request for Parent Input for IEP Meeting

      Request for Special Education Teacher Input for IEP Meeting

      Special Transportation Form

      IEP Turn-In Order

      CVF for IEP Process

      ACAP

      ACAP Alternate Participation Decision-Making Tool

      ACAP Alternate Participation Decision Worksheet 

      ACAP Accommodations Refusal Form

      ACAP Accommodations Special Request Form

      ACAP Testing Supports Form

      Occupational Therapy

      OT Eval Request

      Patient Info Form

      OT Referral Checklist

      Physical Therapy

      PT Patient Info Cover Letter

      New PT Referral

      Instructions for Referral Upload

      PT Request for Evaluation

      Miscellaneous Forms

      Meeting Preferences Letter to Parents 

      Referral for Audiology Evaluation

      Referral Flowchart for Audiological Evaluation

      SRIP Guidance

      Persons Responsible Form

      BCBA

      Referral for FBA by BCBA

      Information Release for BCBA

      SE AL Autism Center-Consent

      QABF/ABC Form

      Transition

      Pictorial Interest Survey for Lower Cognitive Learners

      Live Binders-Transition Assessments


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    • Mastering the Maze

      Please see the following links when looking for answers in the Evaluation/IEP processes: 
       
      Process 1: Referral Through IEP Implementation  
       
      Process 2: Reevaluation to Determine Continued Eligibility 
       
      Process 3: Reevaluation to Determine if Changes Need to be Made to the IEP
       
      Process 4: Annual IEP Team Meeting to Develop the IEP
       
      Process 5: IEP Meeting to Amend the Annual IEP

    Get In Touch

    334-793-1397 Phone

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    1665 Honeysuckle Road, Suite 1

    Dothan, AL 36305

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    The Dothan City Board of Education is established under the authority of state law for the purpose of exercising general supervision and administration of the public schools serving school-age children who reside within the city limits of the City of Dothan, and of promoting the interests of the Dothan City Schools and the children they serve. It is the policy of the Dothan City Board of Education that no student will be excluded from participation in, be denied the benefits of, or be subjected to discrimination in any program or activity on the basis of sex, race, religion, national origin, disability, age or color.
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