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    Four Rivers

    Special Education

    District

    IEP Meeting Forms

     
    • Illinois State Board of Education (ISBE) Forms (34-57 A-M)
    • Release of Information
    • Ten Day Waiver Notice
    • Medicaid Parental Consent Letter: English - Francois - Espanol
    • Medicaid Parental Consent for Billing - English - Francois - Espanol  
    • Notification of Conference
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    EDC/IEP Checklists

     
    • EDC I IEP Checklist Instructions

    • EDC I IEP Checklist

     

    Student Data Forms

     
    • Student Data Coding  Sheet

    • Student Data Form Instructions

    • Student Data Input Form

    • Student Data Transition Form

     

    Referral Packets

     
    • Preschool Teacher Referral Packet

    • Referral Packet K-12

     

    Evaluation Forms

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    • ​Social Development Form​

    • Health History Form

    • Medical Review

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    504 Plans

     
    • 504 Plan

    • 504 Plan & Evaluation Consent Form

    ​

    Preschool Forms

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    • Preschool Classroom Observation Request

    • Development Screening Student Information Form

    • Preschool Teacher Referral Packet​

    ​

    Student Observation Consent Form (K-12)

     
    • Student Observation Consent Form

    ​

    Mental Health Assessment Tools

     
    • Threat Assessment

    • Suicide Risk Assessment

    • Suicide Risk Assessment Procedure

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    © 2020 Four Rivers Special Education District

    Contact Us

    Monday-Friday

    8 am - 4 pm

    Phone: 217-245-7174

    Fax: 217-245-5533

    Address

    936 W. Michigan Ave.

    Jacksonville, IL 62650