| File Name | Document Description | Content Type | File Size | Date Added | Last Updated |
| Screening Forms-6 Speech or Language Screening Results.doc | | Microsoft Word | 34 KB | 11/9/2010 | 11/9/2010 |
| Screening Forms-5 Speech or Language Permission.doc | | Microsoft Word | 29 KB | 8/18/2010 | 8/18/2010 |
| Screening Forms-2 Preschool Developmental Delay Permission.doc | | Microsoft Word | 30 KB | 8/18/2010 | 8/18/2010 |
| Screening Forms-3 Preschool Developmental Delay Screening Results.doc | | Microsoft Word | 26 KB | 8/18/2010 | 8/18/2010 |
| Screening Forms-4 Speech or Language Instructions.pdf | | PDF | 71 KB | 8/18/2010 | 8/18/2010 |
| Screening Forms-1 Preschool Developmental Delay Instructions.pdf | | PDF | 38 KB | 8/18/2010 | 8/18/2010 |
| Print Disabilities.pdf | Obtaining Alternate Format Textbooks and Core Instructional Materials for Student with Print Disabilities. | PDF | 15 KB | 3/24/2009 | 8/12/2011 |
| SLI-Documentation of Appropriate Instruction.rtf | These three forms are suggested forms to rule out the lack of appropriate instruction in children suspected of a speech or language impairment. | Microsoft Word | 20 KB | 9/29/2008 | 9/29/2008 |
| SLI Oral Peripheral Form.rtf | This form is a sample of the oral examination form required for eligibility for articulation. Other forms will meet the requirement as long as the document is thorough in content and is placed with the other evaluation documents. The results/relevant information should be recorded on the eligibility report.
Contact Jan Enstrom, jane@alsde.edu | Microsoft Word | 99 KB | 7/1/2008 | 7/1/2008 |
| SLI-Intelligibility Rating.pdf | Use this form to document intelligibility rating if using an articulation test that contains a stimulability section. | PDF | 29 KB | 2/26/2008 | 2/26/2008 |
| SLI-ARTICULATION STIMULABILITY PROBExby age.pdf | This form is to be used to assess stimulability when an articulation test does not contain a probe section. | PDF | 218 KB | 2/20/2008 | 2/20/2008 |
| SLI-Language eligibility chart.pdf | This chart describes the criteria that must be used in determining eligibility for students with language disabilities. A comprehensive language assessment must be administered as the first step in the process. Additional tests may be administered as indicated on the chart.
Contact: Jan Enstrom at jane@alsde.edu | PDF | 15 KB | 2/20/2008 | 2/20/2008 |
| SLI CHECKLIST preschool A2 (3).pdf | This is one of three forms that are designed for use with preschool children to obtain information from preschool teachers or caregivers. Only one form is required as part of the referral or reevaluation process. Select one version of the form, according to your preference. The form is designed to provide required documentation that the child's communication disabilities impair participation and/or progress in the natural environment. The use of one of these specific forms is not mandatory, however information must be obtained from the teacher and recorded on one of these forms or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 12 KB | 10/3/2007 | 2/20/2008 |
| SLI Checklist-Preschool A1.pdf | This is one of three forms that are designed for use with preschool children to obtain information from preschool teachers or caregivers. Only one form is required as part of the referral or reevaluation process. Select one version of the form, according to your preference. The form is designed to provide required documentation that the child's communication disabilities impair participation and/or progress in the natural environment. The use of one of these specific forms is not mandatory, however information must be obtained from the teacher and recorded on one of these forms or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 12 KB | 10/3/2007 | 2/20/2008 |
| SLI PRESCHOOL CHECKLIST A3 (2).pdf | This is one of three forms that are designed for use with preschool children to obtain information from preschool teachers or caregivers. Only one form is required as part of the referral or reevaluation process. Select one version of the form, according to your preference. The form is designed to provide required documentation that the child's communication disabilities impair participation and/or progress in the natural environment. The use of one of these specific forms is not mandatory, however information must be obtained from the teacher and recorded on one of these forms or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 14 KB | 10/3/2007 | 2/20/2008 |
| SLI - VOICE DISORDER CHECKLIST version 5 (2).pdf | This form is designed to obtain information from teachers as part of the referral or reevaluation process to provide required documentation that the child's voice disabilities impair participation and/or progress in the general education curriculum and/or environment. The use of this specific form is not mandatory, however information must be obtained from the teacher and recorded on this form or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 13 KB | 10/3/2007 | 2/20/2008 |
| SLI - Voice Physician form - web (2).pdf | This form must be completed by a physician, preferably an otorhinolaryngologist (ENT), when a student is referred for a voice disability. The form is a required form. If the student is not covered by a method to pay for an examination by a physician, the public agency is responsible for the cost. | PDF | 11 KB | 10/3/2007 | 2/20/2008 |
| SLI - LANGUAGE CHECKLIST Version 5 web (2).pdf | This form is designed to obtain information from teachers as part of the referral or reevaluation process to provide required documentation that the child's language disabilities impair participation and/or progress in the general education curriculum and/or environment. The use of this specific form is not mandatory, however information must be obtained from the teacher and recorded on this form or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 13 KB | 10/3/2007 | 2/20/2008 |
| SLI - STUTTERING CHECKLIST VERSION 5 (2).pdf | This form is designed to obtain information from teachers as part of the referral or reevaluation process to provide required documentation that the child's fluency disabilities impair participation and/or progress in the general education curriculum and/or environment. The use of this specific form is not mandatory, however information must be obtained from the teacher and recorded on this form or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 13 KB | 10/3/2007 | 2/20/2008 |
| SLI - ARTICULATION CHECKLIST Version 5 - web (2).pdf | This form is designed to obtain information from teachers as part of the referral or reevaluation process to provide required documentation that the child's articulation disabilities impair participation and/or progress in the general education curriculum and/or environment. The use of this specific form is not mandatory, however information must be obtained from the teacher and recorded on this form or a similar form and maintained in the student’s special education file. Relevant information from the completed form should be recorded on the eligibility report. | PDF | 12 KB | 10/3/2007 | 2/20/2008 |