EXCEPTIONAL EDUCATION DEPARTMENT

Delivering Excellence in Education Every Day

Assistive Technology Follow Up Plan

Date:
Student’s Name:
School: / Phone:
Name of person completing form:

Follow-Up Plan:

Person responsible for Follow up:
Date:
Method / Place (i.e. phone, email, school visit…) Please check one
Email / Phone Call / School Visit / IEP Meeting / Other

Summary of follow up:

Is the chosen strategy being successful implemented? / Yes (please sign below and place copy in student’s working file) / No(please complete remaining questions)
If no, please describe the issue(s) concerning implementation.

Action to be taken in resolving issue(s): Check all that apply.

Is review or revision of the SETT Framework needed? / Yes / No
Is review or revision of the Trial plan with new trials needed? / Yes / No
Is review or revision of the Implementation plan needed? / Yes / No
Is additional information or training needed? / Yes / No

If more action is needed please fax to 520-232-7053 or send to ExEd@Duffy Family.Community Center/AT/rrobles

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Signature Date