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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)

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)