C: EC File, Parent/Guardian Student UID#:
CONSENT FOR EVALUATION/REEVALUATION
Dear
The IEP Team has recognized the need for gathering more information about the student through a
formal evaluation. Each LEA must conduct a full and individualized initial evaluation prior to determining
eligibility for special education and related services if the review of existing data is insufficient. You will
be provided a copy of the evaluation report(s) and the results of evaluation will be shared with you.
Purpose: Evaluation Reevaluation
Evaluation Plan
The adaptive behavior evaluation refers primarily to the effectiveness with which the
individual generally meets the standards of personal independence and social responsibility expected of his/her age
Audiological: An audiological evaluation is an examination by a licensed audiologist to determine auditory
acuity, auditory perception, and amplification needs.
Braille Skills Inventory/Learning Media Assessment:
The inventory/assessment is an appraisal of the
student's most efficient reading medium (Braille and/or print).
Functional Vision Assessment: A functional vision assessment is an assessment conducted by a licensed
teacher of children with visual impairments, or other qualified personnel, which provides information on how a student
uses vision in familiar and unfamiliar educational and functional settings. It is intended to inform about the impact of a
vision condition on a student’s learning.
Educational Evaluation: An educational evaluation is an evaluation of a child’s educational functioning in relation
to his/her current educational program. The results of this evaluation are expressed in terms of both the child’s
academic and/or developmental strengths and needs.
Health screening may include, but is not necessarily limited to, as many of the following areas as
may be appropriate: vision screening, hearing screening, dental screening, review of health history, review of
developmental milestones, assessment of physical growth and assessment of nutritional status.
Medical Evaluation: Medical evaluations must be conducted by appropriately trained and/or licensed health
professionals.
Motor Screening: Motor screening includes reviewing written and verbal information, observing the child in a
variety of settings and/or administering screening instruments to determine adequacy of motoric functioning and need
Motor Evaluation: A motor evaluation obtains and provides information to assess a student's current level of motoric
functioning and any problems encountered in performing motor tasks.
Observation: Observations of school aged children usually occur in the regular classroom and/or settings related to
the area(s) of concern and must document areas of strength as well as areas of need. Observations of school aged
children shall assess academic skills and functional skills, which includes behavior. Observations of preschool children
should occur in the natural environment; that is, the setting within the community where preschool children without
disabilities usually are found (home, child care, preschool classes, Head Start, etc.) and must document areas of
strength and areas which are the focus of concern.
Opthalmological/Optometric:
An ophthalmological or optometric evaluation is an evaluation by an
ophthalmologist or optometrist to determine visual acuity and function and whether or not magnification is needed.
Otological: An otological evaluation is an evaluation by a licensed otologist to determine the presence or
absence of ear pathology and the need for medical treatment.
Progress Monitoring: Progress monitoring refers to a systematic, frequent collection of individual performance
data. The measures are repeated over time and charted for the purposes of documenting and quantifying rates of
improvement, and to evaluate the effectiveness of the instruction.
