Special Education Records Request

Parents and School Districts:  Complete this Special Education Records Request, only.
Doctor, therapists, advocates, private schools, etc.: Complete this Special Education Records Request AND submit a Release to Secure Confidential Information form scanned to specialedrecords.helpdesk@bvsd.org or fax to 720-561- 5917.  Below is a link to a release for that is available for your use.  Please print, complete and scan or fax as indicated above.

Sign in to Google to save your progress. Learn more
Student First Name *
Student Middle Name:   *
Student Last Name:   *
Date of Birth: *
Requester First Name: *
Requester Last Name: *
Relationship to Student: *
Email Address: *
Requesting School District (if applicable)
Home Phone Number:   *
Cell Phone Number: *
Records Requested: *
Send Records via: *
Fax/Email/Address that corresponds with how you would like to receive records: *
Signature: *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boulder Valley School District. Report Abuse