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.
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.
My child needs the following assistance (a study partner, tutor, study skills training). Sometimes school systems provide some of these services.
We are helping my child control the following behaviour:
Please use the follow consequence to help us control that behaviour:
Other concerns I have about my child's learning experiences:
Current as of:
June 16, 2021
Author: Healthwise Staff Medical Review: Adam Husney MD - Family Medicine Kathleen Romito MD - Family Medicine Louis Pellegrino MD - Developmental Pediatrics
Medical Review:Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Louis Pellegrino MD - Developmental Pediatrics
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