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
- Functional Behavior Assessment
- English As A Second Language (ESL) - Appropriate Identification And Assessment
- Forms For Evaluation
- Re-evaluation Summary Report
- Responsiveness To Intervention (RTI)
- Disability Evaluation and Services
- Tennessee Comprehensive Assessment Program (TCAP)
- Support Organizations
Vision and Hearing Evaluations & Consultation
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 | |
| Autism | |
| **Autism Assessment Documentation | |
| Deaf-Blindness | |
| **D-B Assessment Documentation | |
| Deafness | |
| **Deafness Assessment Documentation | |
| Developmental Delay | |
| ** DD Assessment Documentation | |
| Emotional Disturbance | |
| ** EMD Assessment Documentation | |
| Functional Delay | |
| **FD Assessment Documentation | |
| Hearing Impairment | |
| **HI Assessment Documentation | |
| Intellectual Disability | |
| **I D Assessment Documentation | |
| Intellectually Gifted | |
| **IG Assessment Documentation | |
| Multiple Disabilities | |
| ** MD Assessment Documentation | |
| Orthopedic Impairment | |
| **OI Assessment Documentation | |
| Other Health Impairment | |
| ** OHI Assessment Documentation | |
| Specific Learning Disabilities | |
| ** 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 | |
| ** SLD Assessment Documentation | |
| Speech or Language Impairment | |
| **SLI Severity Rating Scales | pdf / doc |
| **SLI Assessment Documentation | |
| Traumatic Brain Disorder | |
| **TBI Assessment Documentation | |
| Visual Impairment | |
| ** VI Assessment Documentation |
Manifestation Determination
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 | |||
| Instructions: Evaluation, Eligibility, Placement Timeline Extension Request | ||||
| Evaluation, Eligibility, Placement Timeline Extension Request | ||||
| Explanation of Evaluation Procedures (revised 8/08) |
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| Notice and Consent for Initial Assessment (revised 8/08) |
||||
| Instructions - Notice & Consent for Initial Assessment (revised 8/08) |
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| Eligibility Report (rev. 2/16/11) | e.form | |||
| Instructions - Eligibility Report (rev. 11/10) | ||||
| Notice of Procedural Safeguards 5/11/09 | ||||
| Prior Written Notice 8/08 | ||||
| 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
| Forms (rev. 2/16/11) | .doc | 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 | ||
| Observations | |||
| Gifted Re-evaluation Summary Report 10/10 | |||
| Parent | .doc | .pdf / Span pdf | |
| Classroom Teacher | .doc | ||
| Special Education Teacher | .doc | ||
| Related Services Provider | .doc |
Disability Evaluation and Services
Assessment Memoranda & Guidance
- Guidance on Out-of-State Transfer Students || pdf
- Memorandum: IDEA Eligibility Determinations for Children with Down Syndrome (6.03.09) || pdf
- OSEP Letter (6.03.08) - Are IEP Services Limited to Area of Identification || pdf
- Guidance on Private School/Home School Evaluation Requests
Parent Requests for Evaluation || pdf - Consensus Statements: 2004 LD Roundtable || pdf
- Memorandum-Eligibility Date for IEP Teams || 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
Governor Bill Haslam
