Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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Child’s Name: ________________________ School: ______________________ Year: ______________________ REVIEWING AND CORRECTING MY CHILD’S STUDENT RECORDS The Individuals with Disabilities Education ACT (IDEA) gives parents the right to read school reports and records and to correct school records by having the school amend it, or by placing a statement prepared by parents into the records. It also gives parents the right to limit access of other people to their child’s school records and to make available copies of school records to parents. Inspecting My Child’s Student Records Written request to look at school records on: day/month/year Response from school about looking at records: day/month/year Contacted me by: mail phone e-mail And stated: Appointment made with school on: day/month/year Reviewing My Child’s Student Records Name of records reviewed: Name of records withheld by school: Reason given for withholding records: Request for copy made on: day/month/year Copies Provided on: day/month/year Names of school officials handling request: Titles: Correcting My Child’s Student Records Requested correction / deletion of information on: day/month/year Granted request on: day/month/year Denied on: day/month/year Request for hearing at school district level: day/month/year Hearing date: day/month/year Name and title of hearing officer: Results of hearing: Ensuring the Accuracy of My Child’s Student Records Name of person contacting you from the Department of Education: Written decision received on: day/month/year Results of investigation: 56 © Junior League Family Resource Center 2005
57 SPECIAL EDUCATION MEDIATION REQUEST ATTN: Legal Services Tennessee Department of Education Division of Special Education 5th Floor, Andrew Johnson Tower 710 James Robertson Pkwy. Nashville, TN 37243-0380 FAX: (615) 532-9412 We would like to request special education mediation on behalf of , a student in Schools. Disability: We understand this request is for mediation only. A due process hearing has not been requested. We understand this request is for mediation concurrent with a request for a due process hearing. A written request for a hearing has been forwarded to the Superintendent of Schools. Summary of Issues to be Mediated: Preferred date(s), time(s), and place for Mediation Conference: Sincerely, *Parent Signature *School System Signature Parent/Guardian School System Administrator Name Name Address Address City City Zip Code Phone Zip Code Phone School System *Not Valid Unless Both Parties Have Signed © Junior League Family Resource Center 2005
Page 1 and 2:
1 Family Information Notebook (FIN)
Page 3 and 4:
3 TABLE OF CONTENTS Emergency Healt
Page 5 and 6: 5 INTRODUCTION TO EMERGENCY HEALTH
Page 7 and 8: CHILD’S NAME: DATE OF BIRTH: CURR
Page 9 and 10: CHILD’S NAME: DATE OF BIRTH: 9 BA
Page 11 and 12: CHILD’S NAME: DATE OF BIRTH: 11 A
Page 13 and 14: 13 MEDICAL POWER OF ATTORNEY I, ___
Page 15 and 16: 15 Health and Development • Intro
Page 17 and 18: CHILD’S NAME: DATE OF BIRTH: 17 M
Page 19 and 20: Eye Exams 19 CHILD’S NAME: DATE O
Page 21 and 22: At home: 21 CHILD’S NAME: DATE OF
Page 23 and 24: 23 SUGGESTED INFORMATION TO INCLUDE
Page 25 and 26: 25 INTRODUCTION TO DAILY ROUTINE Th
Page 27 and 28: CHILD’S NAME: DATE OF BIRTH: 27 S
Page 29 and 30: 1. Equipment: Who provides (agency,
Page 31 and 32: CHILD’S NAME: DATE OF BIRTH: 31 M
Page 33 and 34: CHILD’S NAME: DATE OF BIRTH: 33 P
Page 35 and 36: CHILD’S NAME: DATE OF BIRTH: 35 T
Page 37 and 38: 37 INTRODUCTION TO EDUCATION / SCHO
Page 39 and 40: CHILD’S NAME: DATE OF BIRTH: Name
Page 41 and 42: Doctor Nurse Teacher CHILD’S NAME
Page 43 and 44: � TEIS Evaluations and ISPs � C
Page 45 and 46: INTRODUCTION TO RESOURCES / OPTIONA
Page 47 and 48: Your Child’s Educational Rights:
Page 49 and 50: 49 Kay Flowers, Complaints Consulta
Page 51 and 52: 51 State Special Schools Tennessee
Page 53 and 54: 53 TENNESSEE DEPARTMENT OF CHILDREN
Page 55: 55 ADDITIONAL EDUCATION AND HEALTH
Page 59 and 60: DUE PROCESS HEARING REQUEST FORM TE
Page 61 and 62: 61 INTRODUCTION TO APPENDICES SECTI
Page 63 and 64: Physical Therapist (PT): a licensed
Page 65 and 66: QUALITY HEALTH CARE • There are s
Page 67 and 68: 67 Month: _________________________
Page 69 and 70: F Page Family Resource Center Conta
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Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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