Child Find Referral
Use this form to contact the special education director if you wish to refer your 3-year-old child to be evaluated for special services. This evaluation would not guarantee eligibility.
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Parent/Guardian Name *
Contact Number *
Email *
Name of Child Being Referred *
What is your relationship to the child being referred?
Please give a brief description of your primary concern and reason for the referral.
Do you agree that this referral does not guarantee the need for an evaluation and that an evaluation does not guarantee eligibility for services? *
Date of Referral Submission *
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MM
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