Editing previous response:
This form is to be submitted ONE PER STUDENT and only needs to be completed if your child has educational needs. Please reach out to Dr. Katy Schierding should you have any questions, firstname.lastname@example.org.
Evaluating Agency Location:
If your child’s services have been terminated, please provide ICD's resource department with a copy of current IEP or letter from district stating your child has been staffed out of the service.