Desert Mountain Charter SELPA Policies and Procedures

Procedure – Category 5000 (Students) AR 5005.4 – SELPA Referral Procedures

Upon completion of the OT assessment, a report will be sent to the director of special education by either the occupational therapist who conducted the assessment or the OT/PT Supervisor at the SELPA with a request to schedule an IEP meeting. The director of special education will reconvene the IEP team to determine whether services are warranted. If the IEP team agrees that services are not needed, it will be documented in the IEP notes. If the IEP team agrees that services are appropriate, the services should be listed on an Addendum to the IEP including the projected start date, duration, and frequency. The Addendum should be forwarded to the Program Manager for Resolution Support Services at the SELPA. Within five business days of receipt of the Addendum to the IEP, the OT/PT Supervisor at the SELPA will develop an ISA for signature and forward it to the occupational therapist or the appropriate NPA for signature who will then assign a therapist and determine initiation of services. The SELPA will enter the OT services into the IEP system.

10.2 Transfer Referral A. Pre-referral

LEA Responsibility: 1. Complete the Transfer into LEA form (DM 52) and obtain the parent/guardian signature. 2. Complete the Authorization for Use and/or Disclosure of Information form (DM 63) and obtain the parent/guardian signature. Specify the receiving agency’s name if known. If not, leave the field blank. 3. Complete the Occupational Therapy Referral form (DM 120A) and obtain the signatures of the person making the referral and the director of special education.

B. Referral Procedures Forward the following completed documents to the attention of the Program Manager for Resolution Support Services at the SELPA.

AR 5005.4 – SELPA Referral Procedures Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 8/9/22)

Page 27

Made with FlippingBook - professional solution for displaying marketing and sales documents online