• Breathitt County Special Education Policies and Procedures Toggle navigation
  • Breathitt County Special Education Policies and Procedures

• Child Find Toggle navigation
  • PUBLIC NOTICE NON-DISCRIMINATION POLICY
  • Child Find for Children with Disabilities

• Alternate Assessment Toggle navigation
  • Parent Guide to Alternate Assessment 2018
  • KY Alternate Assessment Monitoring Review Document
  • Kentucky Alternate Assessment Participation Guidelines Documentation Form

• Behavioral Supports documents Toggle navigation
  • Manifestation Determination
    Word Document (.doc)
  • FBA Observation Form
    Excel File (.xls)
  • FBA Interview
    Word Document (.doc)
  • Behavior Intervention Plan
    Word Document (.doc)

• Referral/Evaluation documents Toggle navigation
  • Fine and Gross Motor Skills Intervention
    Adobe (.pdf)
  • Speech Assessement Summaries
    Excel (.xls)
  • Social Developmental History
    Excel File (.xls)
  • OT-PT Teacher Checklist
    Adobe (.pdf)
  • Motor Screening Form
    Adobe (.pdf)
  • Referral Data Check sheet
  • Referral
    Word Document (.Doc)
  • Re-Evaluation Data Check Sheet
  • OHI Doctor Form
    Word Document (.doc)
  • Evaluation Plan Form
    Word Document (.doc)
  • Behavior Observation updated form
  • Social Developmental History for Re-evalaution

• Eligibility Forms Toggle navigation
  • Traumatic Brain Injury
  • Autism Eligibility
  • Deaf-Blindness
  • Developmental Delay
  • Emotional Behavioral Disability
  • Functional Mental Disability
  • Hearing Impairment
  • Mild Mental Disability
  • Multiple Disabilities
  • Ortopedic Impairment
  • Specific Learning Disabilities
  • Speech or Language Impairment
  • Visual Impairment

• Special Ed. Documents Toggle navigation
  • Procedural Safeguards Notice
  • Accomodations Determination form
  • Nonprogrammatic IEP Change Form
  • ARC Information Letter
    Word Document (.doc)
  • Conference Summary
    Word Document (.doc)
  • Consent for Special Education and Related Services
    Word Document (.doc)
  • Consent to Evaluate ReEvaluate
    Word Document (.doc)
  • Determination of Student Representative
    Word Document (.doc)
  • IEP 2009
    Word Document (.doc)
  • IEP 2009 Extra Goal Page
    Word Document (.doc)
  • Evaluations Terms and Descriptions
    Word Document (.doc)
  • Meeting Notice Invitation
    Word Document (.doc)
  • Parental Consent to Excuse from ARC Meeting
    Word Document (.doc)
  • Private School Service Plan
    Word Document (.doc)

• Medicaid Toggle navigation
  • Medicaid Service Log-Transportation to Other
    Word Document (.doc)
  • Medicaid Service Log-Transportation Daily
    Word Document (.doc)
  • Medicaid Service Log- Health Services
    Word Document (.doc)
  • Medicaid Abbreviations
    Word Document (.doc)
  • Medicaid Assistive Technology Form
    Word Document (.doc)
  • Medicaid Parent Consent Form
  • Annual Notice of Medicaid Billing

• Postsecondary Transition Toggle navigation
  • Office of Vocational Rehabilitation Flyer
  • Resource Guide for Postsecondary Transition Services
  • Parent Survey Postsecondary
  • Student Survey Postsecondary
  • Transfer of Parental Rights
    Excel (.xls)
  • Request For Transition Outisde Agency Letter
    Word Document (.doc)
  • Multi-Year Course Of Study Form
    Word Document (.doc)
  • Summary of Academic Achievement and Functional Performance (Seniors)