Special Education: The Referral and Evaluation ProcessBabies Can't WaitGeorgia Department of Public HealthSpecial Education: The Referral and Evaluation Process 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by checking one of the options under 'Referral has been discussed with youth/family'. This indicates whether the family is aware of the referral process.
3. Select the type of referral needed by checking one of the boxes under 'REFERRAL IS FOR'. Options include Outpatient Therapy, Trauma-Focused Mental Health Assessment, or Psychological Evaluation.
4. Fill in the youth's personal information including Name, DOB, Address, Gender, Age, Grade, School, and Primary Language. Ensure accuracy for effective communication.
5. Complete caregiver details including Name, Relationship to youth, Address, Phone number, and Primary Language. Indicate if they can speak and understand English fluently.
6. Identify the referral source by selecting from the provided options and filling in Contact Person details along with their phone number and email.
7. Attach any required documents as indicated in the checklist section. This may include insurance cards or previous assessments.
8. Provide detailed information regarding the reason for referral and any trauma history if applicable. Use additional pages if necessary.
9. Complete the Authorization for Release of Information section carefully. Ensure all signatures are obtained where required before submission.

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