Special Education Forms

SameGoal's Special Education forms in Texas are primarily informed by The Legal Framework for the Child-Centered Special Education Process, as well as model forms and guidance published by TEA. SameGoal includes updates for state and federal legislative changes.

Forms include:

• Main Forms
• Behavior/Discipline Forms
• Additional Consent Forms
• Additional Forms
• SHARS-Related Forms
• Service Capture Forms

Main Forms link

• Referral for Initial Evaluation
• Prior Written Notice
• Consent for Initial Evaluation
• Consent for Reevaluation
• Notice and Consent for Evaluation
• Review of Existing Evaluation Data*
• Full and Individual Evaluation
• Notice of ARD Committee Meeting
• Individualized Education Program*
  • IEP at a Glance (additional view)
  • IEP Accommodations Log (Clipboard Sheet) (additional view)
  • TSDS/PEIMS at a Glance (additional view)
• Consent for Services
• IEP Progress Report
• Receipt of Procedural Safeguards

Behavior/Discipline Forms link

• Functional Behavioral Assessment**
• Behavior Intervention Plan
• Manifestation Determination Review*
• Discipline Incident
• Discipline Removal - Services**
• Written Summary of Restraint Use

Additional Consent Forms link

• Authorization for Release of Records
• Consent for Release of Confidential Information - Visually Impaired and Deafblind Students
• Parental Consent for Evaluation for HB 548 Language Acquisition
• Electronic Communication Consent
• Consent for Telehealth - Counseling
• Consent for Telehealth - Occupational Therapy
• Consent for Telehealth - Speech Therapy

Additional Forms link

• ARD/IEP Contact Log
• ARD/IEP Teacher Input Form
• Evaluation Parent Input
• Transfer Student Comparable Services Agreement
• ECI Transition Conference
• Notice of Transfer of Educational Rights
• Notice Educational Rights Have Transferred
• AEP Personalized Transition Plan
• Summary of Performance
• Physician's Verification of Other Health Impairment
• Physician's Verification of Need for Homebound Services
• Student Observation
• Health Information
• Pre-Referral Consideration of Support Services
• Evaluation/Identification Procedure Notification (Dyslexia)

SPPI Forms link

• Child Outcomes Summary Form (SPPI 7)
• Secondary Transition Folder Review (SPPI 13)

SHARS-Related Forms link

• SHARS Notice & Consent
  • SHARS Notice and Consent
  • SHARS Annual Notification
• Prescriptions/Referrals
  • Prescription - Occupational Therapy
  • Prescription - Physical Therapy
  • Referral - Audiological Services
  • Referral - Speech Therapy

Service Capture Forms link

• IEP Service Log
• Evaluation Service Log

Footnotes