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HenrySibleyChildStudy

Confidential
Date:October22,2014
NextChildStudy:October29,2014

StudentName

ConcernUpdate

ActionPlan

Person(s)Responsible

Anxiety,EBDorLD?Highfunctioningbut Assessmentinprogress
underachievingtreatmentmissingalot
ofschool

Tonydoingeval.PWNsignedand
returned.

Tony

Coupleofconcussions,requestfrom
motherforassessment504planfor
extendedtimecurrentlyhistoryofanxiety
andpanicattackspotentialLD.

Katydoingeval.PWNsignedand
returned10/21

Assessmentinprogress

Katy

StrugglinginmathADHD?Called
parentsbutnoresponse.

Johndoingevalstartingon10/23

Assessmentinprogress

John

Behaviorconcerns.2detentionssofar
ReferalforACPPotentialEBD
qualificationSpecialEdbutnodirect
serviceminutes.

Motherwantstowaittoseeifthingsget
better

Onholdpermothersrequest

Tom

StudentName

ConcernUpdate

ActionPlan

Person(s)Responsible

Currentlyon504planMotherdoesnot
wantspecialeducationservicesOn
checkandconnect.

Onholdpermothersrequest

Margaret

Writtenrequestfromgrandmotherfor
specialeducationaccess.She
mentionedoppositionaldefiance,ADHD,
anddepression.Historynotindicativeof
underachievement

Assessmentinprogress

James/Ruth

TransferstudentDiagnosedADHD
RecentconcussionDoctorstatedneedis
forIEPandnot504.

FollowupwithmotherGetmore
informationoninjuryandacademic
history.

Beth

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