CCESC - Clermont County Educational Service Center
Home Services About Us Workshops

 


 

About US

Staff

Services

Occupational Therapy

Physical Therapy

Speech and Language

Forms for Speech

Forms for PT

Employment

Resources

 

 

 Occupational/ Physical Therapy
 


FORMS

Department Forms

CAFS Documentation Form
CAFS Documentation Form (alternate)
End of Year Disposition
Monthly Disposition of Services
Request for Calendar Change
Student List
Weekly Schedule (OT)
Weekly Schedule (PT)

Due Process Forms:

Evaluation Team Report Part A
Evaluation Team Report Part B
Prior Written Notice to Parents (PR-01)
Parent Invitation (PR-02)
Referral for Evaluation (PR-04)
Parent Consent for Evaluation (PR -05)

Other Forms:

District Request for Screening,
Evaluation Consultation
(e.g., Assistive Technology; OT/PT)
Fine Motor Skills Checklist
Gross Motor Skills Checklist
Letter to physician (script)
Physical Therapy Prescription