Downloadable Forms
- EC3 – Selective Screening Consent Form (PDF)
- EC3 – Selective Screening Consent Form (Fillable)
- EC 3A – Selective Screening Summary (Fillable)
- EC 3B – PreSchool Parent Consent for Screening (Fillable Excel)
- EC 3B – PreSchool Parent Consent for Screening (PDF)
- EC 3C – Consent for Anchor Tool (Fillable)
- EC 3C – Consent for Anchor Tool (PDF)
- EC 4A – Referral for Evaluation Outside Unit (Fillable)
- EC 5 – Social Medical Initial (Fillable)
- EC 5 – Social Medical Initial (PDF)
- EC 5A – Social Medical Re-evaluation (Fillable)
- EC 5B – Developmental History (Fillable)
- EC 7 – Classroom Observation (Fillable)
- EC 10 – Outside Referral
- EC 12H – Request for Paraprofessional (Fillable)
- EC 18 – Record Locator
- EC 19 – File Access
- EC 23 – Destruction of Records
- EC 24A – Consent for Mutual Exchange
- EC 24B – Media Release (Fillable)
- EC 24C – Field Trip Permission Form (Fillable)
- EC 25 – Special Incident Report (Fillable)
- EC 34 – Reimbursement for Cont. Ed. (Fillable)
- EC 37 – School District Reimbursement Request for Non-Iep Students (Fillable)
- EC Service Delivery Manual
- Medicaid Authorization to Disclose Information (PDF)
- Parent Notification Consent Letter
- Parental Notice for Medicaid
- Parent Contact Log (PDF)
- Parent Contact Log (Excel)
- Speech/Language Intervention Plan
- Speech Medicaid Log (PDF)
- Intervention Documentation Worksheet
- TIENET Student Entry or Exit Form (Fillable)
- IWAR PowerPoint
- Medicaid Parental Consent form
TITLE IX Guidelines and Training Materials
- AAC-Nondiscrimination & Harassment Policy
- AAC-BR1 ( Disrcimination & Harassment Grievance Procedure)
- AAC-BR2 (Sexual Harassment Grievance Procedure)
- ABCE-Prohibiting on Aiding Sexual Abuse
- Title IX Required Training
Director, Ashley Wolsky will serve as the TITLE IX Coordinator for the ECCEC Unit. Questions or concerns: 701-947-5015.