Regionalized programs for Lake County children requiring services for vision impairment are provided by the Lake County Office of Education.
Contact
Thomas Barnard, Teacher of the Visually Impaired and Orientation and Mobility Specialist, (707) 262-4106.
Documents |
Parent Rights 2009 (pdf, 77 KB, 10/5/2011) |
+ Additional Paraprofessional Support- Additional Paraprofessional Support |
Consideration For Additional Paraprofessional Support (pdf, 36 KB, 10/5/2011) |
Reveiw Of Continuing Paraprofessional Support (pdf, 14 KB, 10/5/2011) |
Staff Support Schedule (pdf, 18 KB, 10/5/2011) |
Student Needs Rubric (pdf, 23 KB, 10/5/2011) |
+ Behavior Support Plan (BSP)- Behavior Support Plan (BSP) |
Behavior Support Plan (word, 167 KB, 3/26/2012) |
Behavior Support Plan 1 (pdf, 54 KB, 1/31/2012) |
Behavior Support Plan Instructions 1 (pdf, 215 KB, 1/31/2012) |
+ Deaf and Hard of Hearing Services- Deaf and Hard of Hearing Services |
Deaf-Hard Of Hearing Referral (pdf, 20 KB, 10/5/2011) |
Deaf-Hard Of Hearing Student Screening Form (pdf, 31 KB, 10/5/2011) |
Deaf-Hard Of Hearing Student Screening Procedures (pdf, 28 KB, 10/5/2011) |
+ District Proposal- District Proposal |
Notice Of District Proposal A (word, 50 KB, 10/5/2011) |
Notice Of District Proposal A (pdf, 15 KB, 10/5/2011) |
Notice Of District Proposal B (word, 39 KB, 10/5/2011) |
Notice Of District Proposal B (pdf, 15 KB, 10/5/2011) |
Notice Of District Proposal Instructions (pdf, 25 KB, 10/5/2011) |
Notice Of District Refusal (word, 40 KB, 10/5/2011) |
Notice Of District Refusal Instructions (pdf, 25 KB, 10/5/2011) |
+ ERMHS- ERMHS |
1 ERMHS Checklist (pdf, 287 KB, 2/1/2012) |
2 ERMHS Prereferral Services (pdf, 297 KB, 2/1/2012) |
3 ERMHS Referral (pdf, 192 KB, 2/1/2012) |
4 ERMHS Flowchart (pdf, 216 KB, 2/1/2012) |
5 ERMHS Parent Consent For Services (fillable) (pdf, 163 KB, 2/1/2012) |
+ Early Start- Early Start |
Consent For Evaluation And Assessment Services (pdf, 35 KB, 10/5/2011) |
Early Start Referral 1 (pdf, 102 KB, 2/6/2012) |
Family Contact Log (pdf, 14 KB, 10/5/2011) |
Guide To Parent Rights (pdf, 393 KB, 10/5/2011) |
IFSP (pdf, 46 KB, 10/5/2011) |
MIS-Infant (pdf, 19 KB, 10/5/2011) |
Parent Consent For Release Of Information (pdf, 12 KB, 10/5/2011) |
Parent Notice Of IFSP Meeting (pdf, 47 KB, 10/5/2011) |
Preschool Transition Plan Record (pdf, 31 KB, 10/5/2011) |
Summary Of Parent Rights (pdf, 113 KB, 10/5/2011) |
+ Health and Developmental History- Health and Developmental History |
Health Initial-SP (pdf, 19 KB, 10/5/2011) |
Health Initial (pdf, 19 KB, 10/5/2011) |
Health Triennia-SPl (pdf, 17 KB, 10/5/2011) |
Health Triennial (pdf, 16 KB, 10/5/2011) |
+ IEP Forms Spanish- IEP Forms Spanish |
01A-Individual Transiition Plan Goal-Services (word, 244 KB, 1/10/2012) |
01B-Individual Transition Plan (word, 185 KB, 3/23/2012) |
01 -Eligibility (word, 355 KB, 3/26/2012) |
02-Present Levels (word, 227 KB, 1/10/2012) |
03A-Special Factors (word, 162 KB, 3/26/2012) |
03B-Statewide Assessments (word, 334 KB, 1/10/2012) |
04A-Annual Goals (word, 140 KB, 1/10/2012) |
04B-Annual Goals And Benchmarks (word, 157 KB, 1/10/2012) |
04C-Annual Goals And Objectives (word, 156 KB, 1/10/2012) |
05A-Services (word, 332 KB, 3/26/2012) |
05B-Educational Setting (word, 171 KB, 3/26/2012) |
06A-Parent Signature (word, 156 KB, 1/10/2012) |
07-IEP Team Meeting Notes (word, 58 KB, 1/10/2012) |
08-Amendments-Addendums (word, 111 KB, 1/10/2012) |
08A-Accommodations And Modifications (word, 297 KB, 1/10/2012) |
09A-SLD Determination (word, 205 KB, 1/10/2012) |
09B-SLD Discrepancy Documentation (word, 87 KB, 1/10/2012) |
21A-Referral For Special Education (word, 153 KB, 1/10/2012) |
21B-Notice For Receipt Of Referral For Special Education (word, 137 KB, 1/10/2012) |
22A-Assessment Plan (word, 239 KB, 1/10/2012) |
22B-Prior Written Notice For Initial Assessment (word, 94 KB, 1/10/2012) |
22C-Assessment Plan PWN (word, 237 KB, 1/10/2012) |
24-Notice Of Meeting (word, 233 KB, 1/10/2012) |
26A-Summary Of Achievement Page 1 (word, 240 KB, 1/10/2012) |
26B-Summary Of Achievement Page 2 (word, 247 KB, 1/10/2012) |
27-Prior Written Notice (word, 144 KB, 1/10/2012) |
28-Written Notice Parent Revoke (word, 88 KB, 1/10/2012) |
29-Individual Service Plan For Private School (word, 233 KB, 1/10/2012) |
30-Interim Special Education Services (word, 323 KB, 1/10/2012) |
31-Team Excusal (word, 210 KB, 1/10/2012) |
Health Initial-SP (pdf, 19 KB, 10/5/2011) |
Health Triennial.SP (pdf, 17 KB, 10/5/2011) |
Parent Consent For Release Of Information (word, 111 KB, 1/10/2012) |
Spanish Parent Rights 09 (pdf, 78 KB, 10/5/2011) |
+ Lake SELPA Forms- Lake SELPA Forms |
IEP Checklist (pdf, 90 KB, 10/5/2011) |
IEP Progress Report. (fillable) (word, 169 KB, 10/5/2011) |
Information Request And Assessment Report (filliable) (pdf, 1 MB, 2/6/2012) |
Parent Consent To Relase Information (fillable) (pdf, 558 KB, 2/6/2012) |
Principal Log (word, 87 KB, 10/5/2011) |
Principal Log (pdf, 35 KB, 10/5/2011) |
+ Low Incidence Equipment Request- Low Incidence Equipment Request |
Low Incidence Protocols (pdf, 29 KB, 10/5/2011) |
Low Incidence Request (pdf, 26 KB, 10/5/2011) |
+ Occupational Therapy and Physical Therapy Guidelines- Occupational Therapy and Physical Therapy Guidelines |
OT-PT Protocols (pdf, 54 KB, 10/5/2011) |
OT Checklist (pdf, 27 KB, 10/5/2011) |
PT Checklist (pdf, 39 KB, 10/5/2011) |
+ Positive Behavior Intervention- Positive Behavior Intervention |
Behavior Emergency Report-fillable (pdf, 86 KB, 2/9/2012) |
Behavior Emergency Report 2 (pdf, 37 KB, 1/31/2012) |
Behavioral Emergency Procedures (pdf, 169 KB, 1/31/2012) |
PBIP01 Coversheet And Directions (word, 136 KB, 1/31/2012) |
PBIP02 Functional Analysis Assessment Report (word, 150 KB, 1/31/2012) |
PBIP0304 Postitive Behavioral Intervention Plan (word, 269 KB, 1/31/2012) |
+ Section 504- Section 504 |
504Assessment-E (word, 32 KB, 10/5/2011) |
504Mtg Notice-E (word, 42 KB, 10/5/2011) |
504 Audit-E (word, 48 KB, 10/5/2011) |
504 Manifestation-E (word, 50 KB, 10/5/2011) |
504 ModPlan-E (word, 43 KB, 10/5/2011) |
504 Parent Rights (pdf, 14 KB, 10/5/2011) |
504 Plan-E (word, 52 KB, 10/5/2011) |
504 Referral-E (word, 80 KB, 10/5/2011) |
+ Speech and Language- Speech and Language |
SLP01 Speech Language Assessment Report (word, 118 KB, 1/10/2012) |
SLP02 Evaluation Of Speech Mechanism (word, 42 KB, 1/10/2012) |
SLP03 Evaluation Of Articulation-Phonology (word, 100 KB, 1/10/2012) |
SLP04 Evaulatin Of Language-CAL (word, 71 KB, 1/10/2012) |
SLP05 Evaluation Of Language-TLC-E (word, 48 KB, 1/10/2012) |
SLP06 Evaluation Of Language-CELF-3 (word, 69 KB, 1/10/2012) |
SLP07 Evaluatio Of Language-CELF-3-Spanish (word, 57 KB, 1/10/2012) |
SLP08 Evaluation Of Language-CELF-3 (word, 53 KB, 1/10/2012) |
SLP09 Evaluation Of Language-PLS-3 (word, 49 KB, 1/10/2012) |
SLP10 Evaluation Of Language-PLS-3-Spanish (word, 48 KB, 1/10/2012) |
SLP11 Evaluation Of Language-LPT-R (word, 56 KB, 1/10/2012) |
SLP12 Evaluatin Of Language-PPVT-III (word, 46 KB, 1/10/2012) |
SLP13 Evaluation Of Language-TVIP (word, 46 KB, 1/10/2012) |
SLP14 Evaluation Of Language-EVT (word, 45 KB, 1/10/2012) |
SLP15 Evaluation Of Language-EOWPVT-3 (word, 47 KB, 1/10/2012) |
SLP16 Evaluation Of Language-TOLDP-3 (word, 63 KB, 1/10/2012) |
SLP17 Evaluation Of Language-TOLD-I-3 (word, 55 KB, 1/10/2012) |
SLP18 Evaluation Of Language-TELD-3 (word, 41 KB, 1/10/2012) |
SLP19 Evaluation Of Language-TAPS-R (word, 58 KB, 1/10/2012) |
SLP20 Evaluation Of Language-The Help Test Elem (word, 53 KB, 1/10/2012) |
SLP21 Evaluation Of Language-TOPS-R (word, 42 KB, 1/10/2012) |
SLP22 Evaluation Of Language SPELT-II (word, 41 KB, 1/10/2012) |
SLP23 Evaluation Of Language-The Listening Test (word, 48 KB, 1/10/2012) |
SLP24 Evaluation Of Language-PAP (word, 57 KB, 1/10/2012) |
SLP25 Evaluation Of Language-SCAN-A (word, 48 KB, 1/10/2012) |
SLP26 Evaluation Of Language-CTOPP (word, 53 KB, 1/10/2012) |
SLP27 Evaluation Of Language (word, 45 KB, 1/10/2012) |
SLP28 Pragmatics (word, 43 KB, 1/10/2012) |
SLP29 Evaluation Of Fluency (word, 54 KB, 1/10/2012) |
SLP30 Evaluation Of Voice (word, 47 KB, 1/10/2012) |
SLP31 Summary Of Evaluation (word, 60 KB, 1/10/2012) |
SLP32 Summary English Language Learners (word, 42 KB, 1/10/2012) |
SLP33 Does Not Qualify (word, 40 KB, 1/10/2012) |
SLP34 Qualifies For Special Education (word, 40 KB, 1/10/2012) |
SLP35 Recommendations-Exclusions (word, 53 KB, 1/10/2012) |
+ State IEP Forms- State IEP Forms |
01A ITP (pdf, 17 KB, 10/5/2011) |
01B TransitionServices (pdf, 16 KB, 10/5/2011) |
01 Info Eligibility (pdf, 26 KB, 10/5/2011) |
02 PresentLevels (pdf, 12 KB, 10/5/2011) |
03A Special Factors (pdf, 62 KB, 10/5/2011) |
03B StatewideAssmnts (pdf, 83 KB, 10/5/2011) |
04A AnnualGoals (pdf, 9 KB, 10/5/2011) |
04B AnnualGoals Benchmks (pdf, 12 KB, 10/5/2011) |
04C AnnualGoals Obj (pdf, 10 KB, 10/5/2011) |
05A Services (pdf, 37 KB, 10/5/2011) |
07 TeamMeetingNotes (pdf, 8 KB, 10/5/2011) |
08 Addendum (pdf, 30 KB, 10/5/2011) |
09A SLD TeamDetermination (pdf, 19 KB, 10/5/2011) |
09B SLD TeamCertification (pdf, 10 KB, 10/5/2011) |
21A Referral (pdf, 106 KB, 10/5/2011) |
21B ReceiptReferral (pdf, 129 KB, 10/5/2011) |
22A Assessment (pdf, 28 KB, 10/5/2011) |
22B PWN Initial (pdf, 45 KB, 10/5/2011) |
22C AssessmentPlanPWN (pdf, 28 KB, 10/5/2011) |
24 NoticeOfMeeting (pdf, 21 KB, 10/5/2011) |
25 ManifestationDetermination2pgs (pdf, 21 KB, 10/5/2011) |
26A TransitionSummarypg1 (pdf, 95 KB, 10/5/2011) |
26B TransitionSummarypg2 (pdf, 19 KB, 10/5/2011) |
27 PWN (pdf, 13 KB, 10/5/2011) |
28 PWN ParentWithdrawal (pdf, 9 KB, 10/5/2011) |
29 ISP (pdf, 47 KB, 10/5/2011) |
30 Interim Placement (pdf, 47 KB, 10/5/2011) |
31TeamExcusal (pdf, 22 KB, 10/5/2011) |
6A Signature (pdf, 16 KB, 10/5/2011) |
Forms Manual 2011 (pdf, 1 MB, 10/5/2011) |
IEP Forms Matrix (pdf, 100 KB, 10/5/2011) |
Parent Rights 2009 (pdf, 77 KB, 10/5/2011) |
Parent Rights Summary (pdf, 29 KB, 10/5/2011) |
+ Surrogate or District Appointment- Surrogate or District Appointment |
Request For Surrogate Or District Appointment (pdf, 171 KB, 1/31/2012) |
+ Transportation- Transportation |
Tranportation Guidelines For IEP Team (pdf, 28 KB, 10/5/2011) |
Transporation Request (pdf, 17 KB, 10/5/2011) |
Transportation Addendum To IEP (pdf, 27 KB, 10/5/2011) |
Transportation Information Request (pdf, 16 KB, 10/5/2011) |
