IEP Forms

Behavior Support Services Form

Referral Process for Behavior Support Services (BSS)

The Site Psychologist, Site Administrator and Program Specialist/Program Director work with the teacher to determine problems to be addressed (Referral Information). Support to be provided by Behavior Support Services team includes consultation primarily with the classroom teacher, and site staff. Classroom teacher MUST be agreeable to this non-evaluative consultation and be available to meet with the Behaviorist within two weeks of the referral. They will collaborate on current classroom systems, and work on the targeted area of need.


Fillable Form: BSS- Referral-II.docx

Referral Procedure Checklist for RISE Academy Services

The completed referral is submitted by the referring Site Team (including all members) to the Program Specialist for the RISE Academy to be reviewed by the RISE Academy Team.
The RISE Academy Team will review the referral packet, assessment information, and considerations from the referral team meeting and contact the referring site team within 10 days of the team meeting to discuss placement and service recommendations.


RISE Academy Referral