Procedure – Category 5000 (Students) AR 5005.4 – SELPA Referral Procedures
• DM 52 – Transfer into LEA • DM 63 – Authorization for Use and/or Disclosure of Information • DM 120A – Occupational Therapy Referral • Current occupational therapy report, if available, that specifies the occupational therapy services the student was receiving and the occupational therapy goals. • IEP or IEP Addendum dated within one year of the transfer referral for occupational therapy that lists occupational therapy services and goals. C. Timeline for Assessment An assessment is not required for transfer referrals. Assessments are completed at three-year intervals (from the date that the services originally began) unless there are extenuating circumstances that dictate otherwise. D. Timeline for Services Within five business days of receipt of the transfer referral packet, the Program Manager for Resolution Support Services 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.
11.0 Physical Therapy (PT)
11.1 Initial Referral School-based physical therapy (PT) supports the student’s ability to gain access to and make progress in the school curriculum. It corrects, facilitates, or adapts to the student’s functional performance in motor control and coordination, posture and balance, functional mobility, accessibility, and the use of assistive devices. PT works on compensation (i.e., modifying the environment, tools, or task) to help the student succeed in school. A. Pre-referral LEA Responsibility:
AR 5005.4 – SELPA Referral Procedures Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 8/9/22)
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