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Special Education Assessment

Assessment in Special Education involves evaluation requirements/guidelines for eligibility to receive services and information regarding participation of students with disabilities in the Tennessee Comprehensive Assessment Program (TCAP).

Initial Eligibility

Vision-Hearing Screening & General Education Interventions Prior to Referral || pdf / doc

**Documents other than the Disability Eligibility Standards - Optional

Document Name Format
Approved Disability Eligibility Standards--Approved 4/16/10 pdf
Autism pdf
          **Autism Assessment Documentation pdf
Deaf-Blindness pdf
         **D-B Assessment Documentation pdf
Deafness pdf
**Deafness Assessment Documentation pdf
Developmental Delay pdf
         ** DD Assessment Documentation pdf
Emotional Disturbance pdf
         ** EMD Assessment Documentation pdf
Functional Delay pdf
          **FD Assessment Documentation pdf
Hearing Impairment pdf
          **HI Assessment Documentation pdf
Intellectual Disability pdf
          **I D Assessment Documentation pdf
Intellectually Gifted pdf
          **IG Assessment Documentation pdf
Multiple Disabilities pdf
         ** MD Assessment Documentation pdf
Orthopedic Impairment pdf
          **OI Assessment Documentation pdf
Other Health Impairment pdf
         ** OHI Assessment Documentation pdf
Specific Learning Disabilities pdf
        **  Reading Instruction Worksheets-Interventions Prior to Referral pdf / e.form
         ** Math Instruction Worksheets-Interventions Prior to Referral pdf / e.form
         ** Student Support and Interventions Team Referral for Comprehensive Evaluation pdf / e.form
          Regression Table pdf
         ** SLD Assessment Documentation pdf
Speech or Language Impairment pdf
          **SLI Severity Rating Scales pdf / doc
          **SLI Assessment Documentation pdf
Traumatic Brain Disorder pdf
          **TBI Assessment Documentation pdf
Visual Impairment pdf
        **  VI Assessment Documentation pdf

Behavior Support Plan

Manifestation Determination

  • Manifestation Determination Review Form || pdf
  • Manifestation Determination - Instructional Guidance || pdf
  • IDEA Discipline || pdf

English As A Second Language (ESL) - Appropriate Identification & Assessment

Assessment Guidelines for English Language Learners (S.E.M. ' 10 Appendix C) || pdf

Assessment Considerations for Culturally & Linguistically Diverse Students (02-08) || pdf

Myths and Facts & Q&As: Special Education and ESL (5-08 update) || pdf

Power Point - Myths and Facts: Special Education & ESL (10 - 07) || pdf

Forms For Evaluation (s. for Spanish)

Form Name English-PDF Spanish-PDF DOC E-Form
General Medical Information 03-10  Optional e-form       e.form
Explanation of Evaluation Procedures
(revised 8/08)
.pdf pdf    
Notice and Consent for Initial Assessment
(revised 8/08)
.pdf pdf    
Instructions - Notice & Consent for Initial Assessment (revised 8/08)
.pdf      
Notice of Procedural Safeguards 5/11/09 pdf pdf    
Prior Written Notice 8/08 pdf pdf    
Medical Release of Information 03-09 Optional e-form       e.form
AUT, EMD, OHI, OI, TBI Medical Information 03-09 Optional e-form       e.form

Re-Evaluation Summary Report

Instructions 11/10download pdf file

Forms (rev. 2/16/11) .doc .pdf Form
Sections I & II .doc    
Section III - Achievement Evaluation .doc    

Section III - Adaptive Behavior

.doc    
Section III - Articulation .doc    
Section III - Cognitive/Intellectual Evaluation .doc    
Section III - Developmental Delay Evaluation .doc    
Section III - Fluency/Voice Impairment .doc    
Section III - Hearing Impairment/Deafness .doc    
Section III - Language Impairment .doc    
Section III - Medical .doc    
Section III - Other Health Impairment .doc    
Section III - Social/Emotional/Behavior Evaluation .doc    
Section III - Visual Impairment Evaluation .doc    
Section IV - Curriculum-Based Assessment Review .doc    
Section V - IEP Team Assessment Review .doc .pdf  
Observations      
Gifted Re-evaluation Summary Report 10/10   .pdf  
Parent .doc .pdf / Span pdf  
Classroom Teacher .doc .pdf  
Special Education Teacher .doc .pdf  
Related Services Provider .doc .pdf  

Responsiveness To Intervention (RTI)

  • RTI Manual || pdf
  • RTI Implementation Guide || pdf

Disability Evaluation and Services

Assessment Memoranda & Guidance

  • End of Year Report for Gifted (Table 7) and Gifted Screenings || pdf
  • Policy Memo- Amending IEP Due to Change in Elegibility Determination || pdf

Resource Packets-Questions & Answers-Instructional Guidance

  • Autism: Resources Packet || pdf || doc
  • Deaf-Blindness: Resources Packet || pdf || doc
  • Deafness / Hearing Impairment: Resources Packet || pdf || doc
  • Developmental Delay: Resources Packet || pdf || doc
  • Gifted: Intellectually Gifted Manual || pdf
  • Gifted: Complete Intellectually Gifted Assessment Resource Packet || pdf || doc
  • Gifted: Special Education Conference Presentation: Writing IEPs for Gifted Students (02-09) || .ppt
  • Intellectual Disability / Functional Delay: Resources Packet || pdf || doc
  • Specific Learning Disabilities: Evaluation - Discrepancy & Processing Deficits Resource Packet
    || pdf || doc
  • Speech and Language Impairments: (General) Resources Packet || pdf || doc
  • Speech and Language Impairments: (Language) Resources Packet || pdf || doc
  • Speech and Language Impairments: (Articulation) Resources Packet || pdf || doc
  • Speech and Language Impairments: (Fluency) Resources Packet || pdf || doc
  • Speech and Language Impairments: (Voice) Resources Packet || pdf || doc
  • Traumatic Brain Injury: Resources Packet || pdf || doc
  • Visual Impairment: Resources Packet || pdf || doc