Procedure – Category 5000 (Students) AR 5005.4 – Referral Procedures
Table of Contents AR 5005.4 – REFERRAL PROCEDURES ................................................................................ 1 1.0 A UDIOLOGICAL A SSESSMENT .......................................................................................... 2 1.1 Initial Referral ............................................................................................................ 2 1.2 Annual ......................................................................................................................... 5 2.0 A SSISTIVE T ECHNOLOGY /L OW I NCIDENCE ...................................................................... 8 2.1 Assessment for Low Incidence Equipment (LIE) ........................................................ 8 2.2 How to Request Low Incidence Funding for Assistive Technology (AT) Recommended by Assessment ............................................................................................... 10 2.3 Assessment for Non-Low Incidence Equipment ........................................................ 11 3.0 B EHAVIORAL H EALTH C OUNSELING : S CHOOL -A GE T REATMENT S ERVICES (SATS) (A GES 7-21 OR G RADES 1-12) ................................................................................................... 12 4.0 B EHAVIORAL H EALTH C OUNSELING – S CREENING , A SSESSMENT , R EFERRAL , AND T REATMENT (SART) (A GES 0-6)............................................................................................... 14 5.0 B EHAVIORAL H EALTH S ERVICES – S TUDENT A SSISTANCE P ROGRAM (SAP) ................ 15 6.0 N ONPUBLIC A GENCY (NPA) – B EHAVIORAL I NTERVENTION A SSESSMENT O NLY ......... 16 7.0 N ONPUBLIC A GENCY (NPA) – B EHAVIORAL I NTERVENTION S UPPORTS O NLY ............. 18 8.0 N ONPUBLIC S CHOOL A GENCY (NPA) – B EHAVIORAL I NTERVENTION A SSESSMENT AND S UPPORTS .................................................................................................................................. 19 9.0 N ONPUBLIC S CHOOL (NPS) ........................................................................................... 22 9.1 Initial Referral .......................................................................................................... 22 9.2 Transfer Referral ...................................................................................................... 23 10.0 O CCUPATIONAL T HERAPY (OT)..................................................................................... 25 10.1 Initial Referral .......................................................................................................... 25 10.2 Transfer Referral ...................................................................................................... 27 11.0 P HYSICAL T HERAPY (PT)............................................................................................... 28 11.1 Initial Referral .......................................................................................................... 28 11.2 Transfer Referral ...................................................................................................... 30 12.0 R ESIDENTIAL P LACEMENT (RTC) .................................................................................. 31 12.1 Initial Referral .......................................................................................................... 31
AR 5005.4 – SELPA Referral Procedures Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 8/9/22)
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