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Houston County Schools
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SST Referral Forms
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SST Workbook



Welcome to Student Support Team Forms Gallery!
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Student Support Team Powerpoint


The following forms are included in the SST Workbook. Please utilize the Workbook when processing SST referrals.

SST Pre-Referral and Request for Assistance – Completed by the referring Classroom Teacher
Initial SST Notification Letter
SST Meeting Notes/Intervention Plan
Classroom Intervention Meeting Notes
FAST – Functional Assessment Screening Tool
Notification Letter- Student Support Team Meeting Notice
End of Year Summary



Student Support Team Referral Forms
Parental Consent for Vision and Hearing Screenings
Vision Screening
Hearing Screening
Referral Checklist for SST Psychological Evaluation
Request for SST Psychological Evaluation
Social Developmental History Form
Authorization to Release Confidential Information



Special Education Evaluation/Eligibility Consideration Forms
Referral Checklist for Special Education Evaluation/Eligibility Consideration
Request for Special Education Evaluation
Social Developmental History Form
Authorization to Release Confidential Information
Physician Form for OHI