Educational Reevaluation Meeting

Educational Reevaluation Meeting

Student Information

Date of Birth:   Student ID:

Parent / Guardian Information

Relationship to Student:   Phone:

Meeting Information

Meeting Date:   Time:

Purpose of Reevaluation

The purpose of this meeting is to determine whether the student continues to be a student with a disability under applicable law, to review current educational needs, and to determine what additional or continued evaluations, supports, or services are appropriate. Indicate the reason(s) for reevaluation:

Triennial reevaluation required   Significant change in performance or needs   Parent/guardian request for reevaluation

Transition planning concerns   New medical or health information   Other:

Evaluations and Assessment

The team recommends the following assessments to address the purpose(s) noted above. Check all that apply:

Cognitive assessment   Academic achievement testing   Functional behavioral assessment / behavior observations

Speech-language evaluation   Occupational therapy evaluation   Physical therapy evaluation

Review of medical records   Records and prior assessment review   Other:

Parent / Guardian Input

Please describe parental concerns, observations, or information to be considered in the reevaluation. This may include medical history, outside evaluations, educational history, and functional concerns.

Existing Services and Progress

Summarize current special education services, accommodations, supports, and the student's progress since the last evaluation or IEP.

Recommendations & Timeline

Proposed changes to eligibility status, services, placement, or supports resulting from reevaluation (if any):

Independent Educational Evaluation (IEE)

Parent/guardian rights regarding evaluation include the option to request an independent educational evaluation. Indicate whether an IEE is being requested now:

Parent/guardian requests an IEE at public expense   Parent/guardian does not request an IEE at this time

Procedural Safeguards & Consent

By signing below, the parent/guardian acknowledges receipt of procedural safeguards and indicates consent or non-consent for the proposed reevaluation assessments. Consent is voluntary. If consent is not granted, the district will not proceed with the assessments described above unless otherwise permitted by applicable law.

I acknowledge receipt of procedural safeguards.

I consent to the reevaluation and to the assessments indicated above.   I do not consent to the reevaluation at this time.

Meeting Participants

Indicate the team members present at the meeting. Provide name for each checked participant.

Parent / Guardian:

Student:

Special Education Teacher:   General Education Teacher:

School Psychologist:   Speech-Language Pathologist:

Occupational Therapist:   District Administrator / Designee:

Other:

Summary of Team Determination

To be completed by the team following review of assessment data, observations, and parent input. State whether the student continues to be eligible for special education, recommended changes to services, and rationale.

Sign Now