Dixie Parent Request for Student Support Services
Use this form to request additional services for your students. Dixie's Student Support Team meets each Monday and will review all submissions. Appropriate staff will be assigned to the referral and parents will be notified of the action plan. Immediate or emergency needs should be communicated by emailing amanda.lloyd@fayette.kyschools.us or by calling 381-3116.
Student's Name *
Your answer
Parent Requesting Services (Parent Name) *
Your answer
Today's Date *
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