Special Education Forms

SameGoal includes the special education forms (school age and preschool) published by the Pennsylvania Training and Technical Assistance Network on pattan.net. This includes:

• Forms listed below.
• Form annotations listed below, incorporated as field tooltips.
• Additional documents listed below for progress reporting and communication with general education staff.

School Age link

Initial Evaluation forms:

• Referral for Initial Evaluation
• Prior Written Notice for Initial Evaluation and Request for Consent Form / Annotations
• Evaluation Report / Annotations

Reevaluation forms:

• Prior Written Notice for Reevaluation / Annotations
• Request For Consent For a Reevaluation / Annotations
• Agreement to Waive Reevaluation / Annotations
• Reevaluation Report / Annotations

IEP and related forms:

• Invitation to Participate in the IEP Team Meeting or Other Meeting / Annotations
• Parental Consent to Excuse Members from Attending the IEP Team Meeting / Annotations
• Individual Education Program / Annotations
• Communication Plan / Annotations
• Summary of Academic Achievement and Functional Performance / Annotations

Transition to School Age forms:

• Notice of Your Child's Transition to School Age Meeting / Annotations
• Preschool to School Age Transition Considerations for Children who are Deaf, Hard of Hearing or Deaf-Blind
• Intent to Register-First Grade Eligible / Annotations

Additional notices, consent and forms:

• Pennsylvania Medical Assistance Billing Parental Consent / Annotations
• Pennsylvania Medical Assistance Billing Parental Notice / Annotations
• Notice of Recommended Educational Placement/Prior Written Notice (NOREP/PWN) / Annotations
• Procedural Safeguards Letter / Links to Procedural Safeguards Notice
• Manifestation Determination Worksheet
• Positive Behavior Support Plan
• Contact Log

Progress reporting and general education:

• IEP Progress Report
• IEP Progress Monitoring Clipboard Sheets
• IEP at a Glance

Preschool link

Initial Evaluation forms:

• Permission to Evaluate - Preschool Early Intervention / Annotations
• Preschool Early Intervention Evaluation Report / Annotations

Reevaluation forms:

• Permission to Reevaluate - Preschool Early Intervention / Annotations

IEP and related forms:

• Early Intervention - Invitation to Participate in the IEP Team Meeting or Other Meeting / Annotations
• Parental Consent to Excuse Members from Attending the IEP Team Meeting / Annotations
• Individualized Education Program - Early Intervention / Annotations
• Early Intervention - Communication Plan

Transition forms:

• Invitation to Participate in a Transition Meeting
• Intent to Register - Kindergarten Age Eligible / Annotations

Additional notices and consent:

• Authorization to Release Information for Children in Early Intervention
• Pennsylvania Medical Assistance Billing Parental Consent / Annotations
• Pennsylvania Medical Assistance Billing Parental Notice / Annotations
• Early Intervention - Notice of Recommended Educational Placement/Prior Written Notice (NOREP/PWN)
• Procedural Safeguards Letter - Early Intervention / Links to Procedural Safeguards Notice - Preschool Early Intervention

Progress reporting and general education:

• IFSP Progress Report
• IFSP Progress Monitoring Clipboard Sheets
• IFSP at a Glance