BOARD POLICY 6164.3
Referral Procedure for School Psychological Services
The population eligible for school psychological services includes all children identified as or thought to be handicapped; children in regular school programs, and their parents; and educational services personnel who need assistance in modifying or implementing instructional strategies.
If a child is thought to be handicapped and diagnostic and consultative services of the school psychologist are needed, school personnel may initiate this service by the following procedures:
1. File a written request for individual psychological services on a form provided through the
principal’s office.
2. Discuss the child’s problem, learning, or behavioral difficulty with the child’s parents.
3. Supply the parent with literature provided by the school district explaining the district
“Special Education Programs and Services” and “Information for Parents: Educational
Assessment.”
3. Provide the parents with written notice of intent to conduct an evaluation for the child on the
“Notice of Intent to Conduct Evaluation” form, and provide the parent with the “Parent Permission Form: Evaluation” to obtain the parents’ written permission for individual testing.
4. The completed “Request for Individual Psychological Services” form and the signed “Parent
Permission Form: Evaluation” are to be filed with the school psychologist. As a general guideline, the services will be initiated in reference to the date the signed parental permission form is received by the school psychologist. In “crisis” type referrals, however, priority will be given to those whose need appears most urgent.
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