Initial Evaluation Consent
Macomb ISD
Special Education
Management Services
August, 2006
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The Initial Evaluation Consent
Form and Process – Why?
• Required by Federal and State Law
• Begins the Legal Special Education
Eligibility Process
• Is Timeline Compliance Driven
• Tracks Initial Referral Outcomes for State
Performance Planning Review
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What About Notice To Non-EnglishSpeaking Parents?
• State has Translated This Form and Other
Required Documents
• Provides Notice/Rights/ in Other Languages:
Albanian Arabic Hmong
Serbo Croatian Spanish Vietnamese
• To Get One, Google Search:
“Michigan Special Education Forms”
• See: http://www.michigan.gov/mde/
0,1607,7-140-6530_6598-16336--,00.html
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When To Use It
• When sufficient evidence exists that:
– Child believed to have a Suspected Disability
that makes:
– Child Unable to Benefit from General
Education Curriculum
– Despite Prior Interventions Having Been Tried
to Improve Child’s Performance
– Additional Testing Would Require Written
Parental Notice and Signed Consent
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Who Might Use The Form
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Building Level Student Assistance Team
Building Administrator/Counselor
Building Special Education Team Leader
Central Special Education Office
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What This Form IS For
• Provides Legal Notice To Parent
• Begins Legal Special Education Eligibility
Determination Process
• Gets Signed Written Parental Consent
• Tracks Initial Referral Outcomes
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This Form Is NOT For
• NOT: Internal-To-District Referrals for
Additional Evaluations of Students Already
Receiving Special Education Services.
• NOT: New District Move-Ins With Previous
Enrollment in Special Education
• NOT: Form 2 Referrals to MISD
• NOT: Part C “Early On” Referral of
Children Ages 0-3
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Who is Legally a “Parent”
A. A NATURAL, ADOPTIVE, or FOSTER parent of
a child (unless a foster parent is prohibited by
State law from serving as a parent);
B. A GUARDIAN (but not the State if the child is a
ward of the State);
C. An INDIVIDUAL in the place of a natural or
adoptive parent (including a grandparent,
stepparent, or other relative) with whom the
child lives, or an individual who is legally
responsible for the child’s welfare;……….
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Also Legally a “Parent”
D. A SURROGATE PARENT who has been appointed in
accordance with state board of education policy.
E. A FOSTER PARENT if both:
1. The natural parent’s authority to make educational
decisions has been extinguished under state law.
2. The foster parent satisfies ALL of the following:
A. Has ongoing, long-term parental relationship with student/youth
with a disability.
B. Is willing to make the educational decisions required of parents.
C. Has no interest that would conflict with the interests of the student
or youth with a disability.
F. The STUDENT/YOUTH who is 18 years of age, if a legal
guardian has not been appointed by appropriate court
proceedings.
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The Critical Parts of the Form
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Identifying Information
Reason for Referral
Source of Referral
Notification Language
Evaluation Review (Optional)
Evaluation Team Participants
Evaluation Team Leader
Notice Components
Native Language
Consent Signature
Timeline Dates/Outcomes
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Identifying Information
• Accuracy is Critical, Especially
– Legal Last Name, First Name
– Date of Birth
– Resident District
• Begins Official Special Education Record
• Links To State of Michigan Student ID
• Have Parent Verify This Information
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Reason For Referral
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Social/Emotional Behavioral
Learning/Achievement
Speech/Language
Delayed Development (Cognitive, ECDD)
Vision/Hearing
Physical Health
Other
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Typical Referral Sources
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Building Level Curriculum Review Process (RtI)
Student Assistance Team
Child Find/Screening
School Administrator
General Ed Teacher
Parent
Doctor/Physician/Public Health Dept
504 Accommodation Process
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The Core Notice Language
• Your child has been referred for evaluation
because he/she is suspected of having unique
needs that may prevent him/her from fully
participation in the general education curriculum.
• This evaluation will be for educational purposes.
• Your input will be requested during the evaluation
process.
• The information gained will be used to determine
if your child is eligible for special education and, if
so, to plan appropriate programs and services.
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Evaluation Review
Before Initial Evaluation
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An OPTIONAL Process per IDEA
Identifies Existing Assessments
Narrows Assessments Still Needed
See “Evaluation Review” Form
Review Your Local Policy:
 Required
 Optional
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Multidisciplinary Evaluation Team
Michigan’s MET Team
• Persons Who MAY Evaluate the Child
• Certain Professionals are Required for
Specific Suspected Impairments
• Parent Input must be collected
• MET Report with recommendation of
Eligibility is required for the first IEP to
determine student’s eligibility.
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Team Leader/Contact Person May
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Provide Informed Notification to Parents
Acquire Signed Parental Consent
Facilitate/Coordinated MET work.
Explain Tests to Parents
Document Parental Agreement to Extension
of Initial IEP Timeline
• Schedule/Complete IEP Invitation
• Track Referral Dates and Outcomes
• Other Local Duties?
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Informed Consent Includes
Items Given to Parent
• Macomb ISD Parent Handbook, or
• Other Parent Information Supplement
• The Parent Rights/Due Process Document
 Longer State Version, or
 Shorter Condensed-Format Version
• Organizations Available to Help Parents
• Description of Special Education
Programs/Services in District/Macomb
County
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Give or Refuse Consent
• Parent MUST make a Choice:
 I GIVE CONSENT
 I REFUSE CONSENT
• If Parent REFUSES:
– District Not Obligated to Pursue Further
– Be Sure To Thoroughly Document Refusals
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Native Language
• Informs District of Native Language of
Student
• Alerts to Assessment Accommodations
• Alerts to Possible Need for Interpreter.
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Consent Signature and Date
• Ask Parent To Check Accuracy of
Identifying Student Information
• Ask Parent To Specify Relationship To
Student (see “Parent” defined above)
• Ask Parent To Write Signature Date
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Timeline Tracking Dates
• Maintained by Evaluation Team Leader
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Date Given or Sent
Parent Signature Date
Date Consent Received
IEP Compliance Date
Initial IEP Held Date
Extension to Timeline Reason
Extended IEP Compliance Date
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Date Given or Sent to Parent
• Initial Evaluation Consent Form should be
Given/Sent To Parent: Within 10 Calendar
Days of Receipt of a Referral.
• In Our District, “Referral Date” Means:
__________________________________
• Evaluation Team Leader:
• Records Date When Form was Given/Sent
to Parent
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Date Consent Received
• The Date that an Authorized District Official Got
the Signed Initial Evaluation Consent Form
• Can be Date Stamped
• Recorded In “Date Consent Received” at Bottom
of Form.
• My District Starts the 30 School Day Clock using
the Date Consent Received:
 Yes
 No – We Use the “Parent Signature Date”
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IEP Compliance Date
• Target Date of Initial IEP
• 30 School Days = 30 Kids In School Days
• Use Current School Calendar to Calculate Days
from RECEIPT of Signed Parent Consent
• Receipt by: District-Authorized Person, e.g.:
– Bldg Admin
– Spec Ed Dept
– Administrative Designed (SSW, Psy, etc)
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Extension To
30 School Day Timeline
• May Be Extended
• Must Be Agreed to by:
– Parent
– School District (Administrative Designee)
– Data Used for Compliance Reporting
• Document New Agreement Via _____________
• Use New IEP Date on Invitation to Initial IEP
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Initial IEP Held Date
• Tracks MI Referral Timeline Compliance
• Used by ROSES to calculate days
under or over:
– Initial IEP Target Date, or
– Extended IEP Compliance Date
• Sets Next IEP Date 365 days later
• Sets Next Eval Review Date 3 years later
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Initial IEP Due Date Compliance
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Was Initial IEP held in 30 School Days?
Reported to State for Compliance
Possible Outcomes:
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01 - IEP Held within 30 School Days
02 - Child Not Available to Evaluate
03 - Child/Family Moved Prior to Initial IEP
04 - Parties Agreed to Extend Timeline
05 - Evaluation Personnel Unavailable to
Complete Evaluation within 30 School Days
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Initial Referral & IEP Results
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Results of Referral at Initial IEP
Reported to State for Compliance
Initial IEP Outcomes:
1. Student Evaluated & ELIGIBLE
2. Student Evaluated & INELIGIBLE
3. Student Evaluated & ELIGIBLE but Parent
Refused Special Ed Services
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Our District’s Key Policies
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Our District’s Form Copies:
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Original To: __________________
Copy 1 To: __________________
Copy 2 To: __________________
Copy 3 To: __________________
Copy 4 To: __________________
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Questions?
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Initial Evaluation Consent - MISD