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Get and Sign Pr 06 2012-2022 Form

Get and Sign Pr 06 2012-2022 Form

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DOCUMENTATION FOR DETERMINING THE EXISTENCE OF A SPECIFIC LEARNING DISABILITY PART 4 ELIGIBILITY PART 5. PR-06 ETR FORM REVISED BY ODE May 22 2012 PAGE 1 of 8 EVALUATION PLANNING FORM Required School Age Disability Determination DATE OF PLAN TEAM CHAIRPERSON SUSPECTED DISABILITY TEAM MEMBERS DATA ASSESSMENT AREAS RELATED TO SUSPECTED DISABILITY IES AVAILABLE1 FURTHER TESTING NEEDED2 PERSON RESPONSIBLE FOR ASSESSMENT AND REPORT Information Provided by Parent General Intelligence Academic Skills...
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