Overview
You may want to give the teacher a copy of your child's treatment plan to keep with this school plan. Adapt this form to fit your child's needs. Keep a copy of the completed form for your records and give a copy to your child's teachers.
Name: __________________________
School year: _____________________
My child's evaluations indicate that he or she needs the following classroom, test, or homework accommodations:
Sample: My child needs extra time to take a written test.
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My child needs the following assistance (a study partner, tutor, study skills training). Sometimes school systems provide some of these services.
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We are helping my child control the following behavior:
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Please use the following consequence to help us control that behavior:
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Other concerns I have about my child's learning experiences:
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Credits
Current as of:
April 13, 2022
Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Louis Pellegrino MD - Developmental Pediatrics