Your student is presently under medical evaluation. To assist with this process, his/her doctor would appreciate your observations on his/her functioning in class. Your feedback will be important in providing knowledge of the student's functioning in the school setting.

As his/her teacher, you are a key part of the student's learning process

We thank you for your input and your assistance in better  assessing the needs of this individual. The objectives of these forms are to reach an accurate diagnosis and offer interventions and  therapeutic solutions that will be individualized for this student. If you are unsure of your response, go with your first instinct. Do not leave any items blank.