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.

https://drive.google.com/open?id=1OEEzY8t_1mXzj3KYA-Ps6SKfU5GCBjCm
Sign in to Google to save your progress. Learn more
Student First Name *
Student Middle Name:   *
Student Last Name:   *
Date of Birth: *
MM
/
DD
/
YYYY
Requester First Name: *
Requester Last Name: *
Relationship to Student: *
Email Address: *
Requesting School District (if applicable)
Home Phone Number:   *
Cell Phone Number: *
Records Requested: *
Required
Send Records via: *
Fax/Email/Address that corresponds with how you would like to receive records: *
Signature: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boulder Valley School District. Report Abuse