Psycho-Educational Re-Evaluation

Name1

[Date of Report]

Name: / School:
Birth date: / Grade:
Assessment Dates: / Track:
Age: / Teacher:
Primary Language: / Examiner:

Reasons For Referral

Name was referred for testing as a part of a three-year re-evaluation. This testing is designed to help determine (a) if Name continues to have a disability, (b) if s/he continues to need special education, (c) to document present levels of functioning and educational needs, and (d) to determine if additions or modifications to the special education program are needed.

Psychological Procedures

From a review of prior assessment data, behavioral observations, teacher report, and input from Name’s parents, the following procedures were selected in order to address the reasons for referral:

Background Information

Name is a (grade) grade (gender) who attends School. Currently, s/he receives (List special education services as specified in the IEP). The rational for this placement as stated on Name's current (date of IEP) Individualized Education Program (IEP) is as follows: "(Report the rationale for services as stated on the IEP)." Current teacher reports indicate (Discuss progress toward annual goals as reported by teachers). For additional background information, including developmental and health history, the reader is encouraged to refer to the prior evaluations dated (date of last evaluation).

Previous Evaluations

Name was previously assessed on (Date of previous testing) by (Examiner). Results suggested (Brief summary of results). Academic progress as measured by prior individually administered achievement testing is summarized in the following table of standard scores (mean, 100; standard deviation, 15):

Test

/ Date / Date / Date
Reading
Arithmetic
Written Language

Behavioral Assessment

Behavior Ratings

Behavioral Observation

Test Taking Behavior

Psychometric Assessment

Intellectual Ability

Academic Functioning

Basic Psychological Processes

Social and Emotional Functioning

Summary And Educational Implications

Name is a (CA) (Grade) grade (Gender) who has been assessed as part of his/her legally mandated re-evaluation. Current assessment data suggests Name’s (summarize data reflecting present levels of functioning).

From the available data it is concluded that Namedoes/does not continue to have a learning disability. (Summarize the data used to reach this conclusion). The following recommendations address Name’s current learning needs.

Namedoes/does not continue to meet eligibility criteria as a student with (Identify the appropriate special education eligibility classification and summarize the data that supports the eligibility conclusion).

Specific special education placement and service recommendations include (From the available data specify your placement/service recommendation).

Additional recommendations designed to ensure Name’s success in the least restrictive educational environment.

The final decision as to whether or not Name meets special education eligibility will be made by the individualized education program team, including assessment personnel, and will take into account all relevant material which is available on Name. No single score or product of scores, test or procedure has been used as the sole criterion for the decision of the individualized education program team as to his/her eligibility for special education.

______

Stephen E. Brock, Ph.D., NCSP

Licensed Educational Psychologist

30 EC 56381 - Reassessment of Pupils; Triennial

(a)A reassessment of the pupil, based upon procedures specified in Article 2 (commencing with Section 56320) shall be conducted at least once every three years or more frequently, if conditions warrant a reassessment, or if the pupil's parent or teacher requests a reassessment and a new individualized education program to be developed. If the reassessment so indicates, a new individualized education program shall be developed.

(b)As part of any reassessment, the individualized education program team and other qualified professionals, as appropriate, shall do the following:

(1)Review existing assessment data on the pupil, current classroom-based assessments and observations, and teacher and related services providers' observations.

(2)On the basis of the review conducted pursuant to paragraph (1), and input from the pupil's parents, identify what additional data, if any, is needed to determine:

(A) Whether the pupil continues to have a disability described in paragraph (3) of Section 1401 of Title 20 of the United States Code.

(B)The present levels of performance and educational needs of the pupil.

(C)Whether the pupil continues to need special education and related services.

(D)Whether any additions or modifications to the special education and related services are needed to enable the pupil to meet the measurable annual goals set out in the individualized education program of the pupil and to participate, as appropriate, in the general curriculum.

(c)The district, special education local plan area, or county office shall administer tests and other assessment materials as may be needed to produce the data identified by the individualized education program team.

(d)If the individualized education program team and other qualified professionals, as appropriate, determine that no additional data is needed to determine whether the pupil continues to be an individual with exceptional needs, the district, special education local plan area, or county office shall notify the pupil's parents of that determination and the reasons for it, and the right of the parents to request an assessment to determine whether the pupil continues to be an individual with exceptional needs; however, the district, special education local plan area, or county office shall not be required to conduct an assessment unless requested to by the pupil's parents.

(e)A district, special education local plan area, or county office shall assess an individual with exceptional needs in accordance with this section and procedures specified in Article 2 (commencing with Section 56320) before determining that the pupil is no longer an individual with exceptional needs.

(f)No reassessment shall be conducted unless the written consent of the parent is obtained prior to reassessment except pursuant to subdivision (e) of Section 56506.