• Selective Screening Consent Form (PDF)
• Selective Screening Consent Form (Fillable)
• Selective Screening Summary (Fillable)
• PreSchool Parent Consent for Screening (Fillable Excel)
• PreSchool Parent Consent for Screening (PDF)
• Consent for Anchor Tool (Fillable)
• Consent for Anchor Tool (PDF)
• Referral for Evaluation Outside Unit (Fillable)
• Social Medical Initial (Fillable)
• Social Medical Initial (PDF)
• Social Medical Re-evaluation (Fillable)
• Developmental History (Fillable)
• Classroom Observation (Fillable)
• Outside Referral
• Request for Paraprofessional (Fillable)
• Record Locator
• File Access
• Destruction of Records
• Consent for Mutual Exchange
• Media Release (Fillable)
• Field Trip Permission Form (Fillable)
• Special Incident Report (Fillable)
• Reimbursement for Cont. Ed. (Fillable)
• 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.