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If additional evaluation information was determined necessary through a Reevaluation Review, follow
these steps for completing the form after the results have been obtained.
1. The IEP team members should each report/review the results of the evaluation components. The
school psychologist/speech therapist should check all areas reviewed in the first section of the P-1
form. Following a discussion of the results, the IEP team then determines if the student continues
to meet the eligibility criteria for special education and related services as outlined in the SEED
document.
a. If the student no longer meets the eligibility criteria for special education, the school
psychologist/speech therapist should check the box that the student does not meet eligibility
criteria.
b. All participants should indicate their attendance by signing the P-1. Follow the process
outlined in the IEP/Staffing Meeting Summary for providing written notice to the parent of
the decisions made at the meeting.
c. If the student continues to meet the eligibility criteria for special education, the school
psychologist/speech therapist should check that box and check the box next to the area of
disability appropriate to the students eligibility.
i. The special educator and related service provider(s), if appropriate, should then
revise the IEP in EXCENT as outlined in Chapter 3 of the IEP Process Manual. If a
Draft revised document has been developed, the special educator should review
each section with the team, making sure that the students evaluation results and the
educational implications therein are documented thoroughly and accurately as
presented in #2 above.
ii. All participants should sign their attendance on page 2.
iii. Follow the process outlined in the IEP/Staffing Meeting Summary for providing
written notice to the parent of the decisions made at the meeting.
Forms:
Evaluation Results Summary and Eligibility Determination (P-1)
Consent for Placement (Parcon 1)
IEP
IEP/Staffing Meeting Summary (IEP-10)
Medicaid Consent (MC-1)
P-1
RE-EVALUATION
An Eligibility team has considered the following multi-disciplinary reports and other information:
(Check all that apply)
Academic Information
Achievement
Classroom Performance
Adaptive Skills
Assistive Technology
Behavioral Performance
Functional Behavior Assessment
Communication
Developmental Skills
Health
Hearing
Information from the Parents
Intellectual Ability
Motor Skills
Observation(s)
Perceptual-Motor
Social Skills
Transition Assessments
Functional Vocational Evaluation
Vocational Aptitudes
Interests/Preferences
Informal Assessments
Vision
Orientation and Mobility
Other (specify below)
______________________________
Based upon a review of this information, the Eligibility team has determined that the student:
does not meet the eligibility criteria for special education services under SC State Board of Education Regulation
43-243.1 or
meets*/continues to meet the eligibility criteria for special education services under SC State Board of Education
Regulation 43-243.1 as a student with:
Autism
Deaf/Hard of Hearing
Emotional Disability
Mental Disability (mild,moderate,severe)
Orthopedic Impairment
Other Health Impairment
Speech/Language Impairment Preschool Child with a Disability
Visual Impairment
*If SLD complete the questions below:
Deaf-blindness
Multiple Disabilities
Specific Learning Disability*
Traumatic Brain Injury
Position
LEA Representative
Regular Educator
Special Educator
School Psychologist
Signatures
Position
Parent
Parcon-1
I understand that my consent to special education and related services is voluntary and may be
revoked at any time.
If you revoke consent, an IEP/Staffing team will meet to review your
request.
I understand that if I do not consent to these services, Horry County Schools is not obligated to
provide a free appropriate public education, convene an IEP meeting, or develop an IEP for my
child.
I give my consent for the school district to provide special education and related services.
I do not give my consent for the school district to provide special education and related services.
_________________________________________________
(Signature of parent, legal guardian or surrogate)
________________
(Date)
You and your child have protection under the procedural safeguards (rights) of special education law.
Previously you received a copy of your procedural safeguard rights in a booklet entitled Your Rights
as Parents Regarding Special Education. If you would like another copy of this booklet and/or
assistance in understanding the provisions of the procedural safeguards, please contact the school
administration, Horry County Schools Office of Special Education at 843-488-6787, the Horry County
Schools Parent Educator Resource Services staff at 843-488-6240, or the SC Department of
Education, Office of Exceptional Children, Ombudsman at 803-734-2833.
Provide a copy of this document to the parent. Keep a copy for the students school folder.
Provide the original to the DO Records Room.