Distance Screening Paperwork Request Form
Complete this form so we can get you all distance screening forms, including two Social Emotional and Developmental task questionnaires. These questionnaires can be mailed or online. They require 20-30 minutes of time completing a few tasks with your child. Vision and hearing are not checked in distance screening. A summary phone call or Zoom Appointment with just the guardian will be scheduled AFTER all paperwork is completed and returned.
Child's First Name
Child's Last Name
Child's Birthday MM/DD/YEAR
Guardian Full Name
Will you need an interpreter for completing paperwork or summary zoom/phone call? If yes, what language?
How would you like to receive the forms? Please type your email address OR full mailing address below. You can return by scan/email, mail or dropping off at Beaver Lake Education Center: ATTN ECS Brooke Thrall.
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This form was created inside of ISD 622.