Procedure – Category 5000 (Students) AR 5005.4 – SELPA Referral Procedures
Within ten business days of receipt of the completed referral packet, SELPA school psychologist will review the packet for completion and forward it to the LEA’s NPS of choice. The NPS will contact the parent and placement will be made within ten business days. The NPS will work directly with the LEA to schedule an IEP within 30 days of the student’s placement at the school. The placement should be listed on an IEP or IEP Addendum including the NPS, start date, duration, and frequency. The IEP or IEP Addendum should be forwarded to the SELPA school psychologist who coordinates NPS placements. Within five business days of receipt of the Addendum to the IEP, the SELPA school psychologist will develop a Master Contract with the NPS if one does not currently exist and an ISA. The ISA will be forwarded to the appropriate NPS for signature. The SELPA will enter the NPS placement into the IEP system.
10.0 Occupational Therapy (OT)
10.1 Initial Referral School-based Occupational Therapy (OT) supports the student’s ability to gain access to and make progress in the school curriculum. OT supports a child’s engagement and participation in daily occupations, which includes activities in daily living, education, prevocational work, work, play, rest, leisure, and social participation. OT works on mediation (improving sensory and motor foundations of learning and behavior) to help the child succeed in school. A. Pre-referral LEA Responsibility: 1. Convene an IEP meeting to document the team’s decision to refer the student for an OT assessment.
2. Complete the Occupational Therapy Referral form (DM 120A) and obtain the signatures of the person making the referral and the director of special education. 3. Complete the Assessment Plan form (DM 66) and obtain the parent/guardian signature. The person making the referral should check the box that corresponds to the type of assessment(s) requested.
AR 5005.4 – SELPA Referral Procedures Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 8/9/22)
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