Step 1: The Referral

Please Select the Student(Required)

Additional Educators Referring

Problem Solving

Describe the Problem: Provide a detailed description of the problem, stating it in observable and measurable terms. Include information regarding when and where the problem occurs, how often and for how long

Interventions: Describe the instructional interventions and strategies that have been provided to address the problem. (e.g., Elkonin boxes, repeated readings, folding in, math fluency drills, social skills group 2 x’s wk, video modeling, etc.)

Accommodations: List the accommodations that have been made available to the student and when the accommodations are provided. (e.g., preferential seating, prompting, redirecting, visual schedule, etc.

Parent Participation: Provide a brief description of the discussions that have occurred during the ongoing communication you have had with the parent regarding the concern(s) listed above

Step 1: The Referral

Pertinent information from educational history, cumulative file review and medical records:

Birth history

Milestones

Early Interventions

Medical Concerns

Abuse neglect

Additional Relevant Records. Can be viewed in the Abre Students App

Attendance

Behavior

Documented Services

Native Langauge

MAP

OST

Relevant Attachments

Max. file size: 10 MB.

MTSS Plan Required?(Required)

Yes

Step 2: The Agenda and Plan

Family members in attendance(Required)

Step 1: Define the Problem

Step 2: Describe and analyze interventions and data

Step 3: Effectivenss of the Intervention

Step 4: Next Steps

Step 1: Define the Problem

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