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.

http://www.bvsd.org/specialeducation/Documents/iep_releaseconfidentialinfo.pdf

Student First Name *
Your answer
Student Middle Name: *
Your answer
Student Last Name: *
Your answer
Date of Birth: *
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DD
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YYYY
Requester First Name: *
Your answer
Requester Last Name: *
Your answer
Relationship to Student: *
Your answer
Email Address: *
Your answer
Home Phone Number: *
Your answer
Cell Phone Number: *
Your answer
Records Requested: *
Required
Send Records via: *
Fax/Email/Address that corresponds with how you would like to receive records: *
Your answer
Signature: *
Your answer
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