2025-26 AT Contact Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

**FOR STAFF USE ONLY**
Use this form to request support from our AT Staff.

Please refer to our A&IT Website: https://sites.google.com/pccsk12.com/pccs-ait/home for ideas and download to document the supports/strategies you are currently utilizing with your student.

Email *

Record my email address with my response

Service Requested *

What service are you requesting? Hint: AT Consult is a brainstorming session with a consultant while an evaluation involves permission from the parent to conduct an observation. If you are considering/requesting an evaluation, please connect with Jamie/Michelle before getting signed consent.

AT Consult: Consultation with A&IT staff(Students with an IEP or 504 plan-attach a copy of the 504 plan)

AT Follow-up

AT Assessment: PLEASE CONTACT OUR OFFICE prior to submitting an Assessment/Evaluation request.

AT/AAC Training

Data Assistance

Digital Learning Support (Canvas, Google Meet, Docusign, Bookshare or other digital platforms)

Request for Materials (for a student or program, i.e. Core Board)

Clear form

Never submit passwords through Google Forms.

This form was created inside of Plymouth-Canton Community Schools.

Does this form look suspicious? Report

Forms