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{\title MARY HOGAN ELEMENTARY SCHOOL}{\author etalbert}{\operator Jennifer James}{\creatim\yr2009\mo5\dy19\hr11\min5}{\revtim\yr2009\mo5\dy19\hr11\min5}{\version2}{\edmins3}{\nofpages1}{\nofwords227}{\nofchars1295}{\*\company 91°µÍøÊÓƵ}
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\ltrch\fcs0 \fs20\insrsid209537 Product of the VCHIP ADHD Practice Improvement Projects, 2008.}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid13906006\charrsid6450619 
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 Date}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13580028\charrsid6450619 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 Dear Doctor
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\insrsid6450619\charrsid6450619 ___________________}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619  is having difficulty in school and has been referred}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13580028\charrsid6450619  t}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid5965576\charrsid6450619 o}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13580028\charrsid6450619  t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 he Education Support Team (EST). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6450619 
We have encouraged the student\rquote s family to schedule an appointment with you for further discussion and medical evaluation. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 
The team is in the process of collecting information that we hope you will find helpful in assessing this student.
\par }\pard \ltrpar\ql \li0\ri0\sb260\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 The EST's concerns are:
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\par 
\par 
\par 
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As part of the pilot program being initiated in our community and supervisory union, we have obtained permission from this student's family to have teachers complete the Teacher Report Form of the Achenbach System of Empirically Based Assessment
 (ASEBA). The parents will complete the Child Behavior Checklist. When complete and scored, you will receive a copy of that information. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6450619\charrsid6450619 
\par The parent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6450619\charrsid6450619 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5965576\charrsid6450619 
 "Permission to Obtain or Release Records and Information" form is enclosed and is on file at school as well. In addition to ASEBA information, the EST will send the information listed below.
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If there is anything further that we can do to assist in regard to this student, please do not hesitate to contact us.
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\insrsid5965576\charrsid6450619 Summary of past academic information
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