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North Platte Public Schools

Special Education Services


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Forms used by the public schools:

Parent Request Flow Chart 8/2020

ISP Screener Permission Form

OT ISP Request Form

PT ISP Request Form

Articulation SAT Form (speech only concerns)

ISP Articulation Only Concern Tier 1

Behavior Referral Form (fill out when requesting assistance from the school psychologist)

Parent Guardian Questionnaire (updated 6.2020)

Parent Guardian Questionnaire Spanish (updated 6.2020)

*Indicates forms needed for referrals

Forms used by the private schools

Student Assistance Team (SAT) Forms:      

*Indicates 5 Required Forms for SAT Referrals     (For Speech and/or Language only referrals, consult with building Speech Language Pathologist)

Exchange of Information

Additional Forms:


Special Education Technical Assistance Document

Location of MDT & Psychological Information Within Buildings


Assistive Technology:




Discontinuation of Services:

Exchange of Information:

Extended School Year:


IEP Team Forms:

Initial Evaluation Required Parent Documents:

Nebraska Department of Education:


Reevaluation Process/Forms:

Surrogate Parent:

Timelines and Service Percentage:


Transfer Student Process:

Click Here to Go to Student Records System (SRS)