X
GO

HEALTH, ORTHOPEDIC AND LOW VISION NEEDS

Students with disabilities may have health challenges which must be cared for while they are at school.  When needed, a Health and/or Emergency Care Plan will be included with the student's IEP.

For employees of the Ventura County SELPA,  many of the following resources can also be downloaded from SIRAS, under the Tools menu>Added Forms>Health/Medical.

Free Top view of crop anonymous person hand with red paper heart on table with stethoscope and …

 

HEALTH AND NURSING:

 

Guidelines for School Nurses Using SIRAS 

Health and Developmental History Eng/Spn

Health Assessment Summary Eng/Spn

Medi-Cal Permission Form Eng/Spn

Request for Physician's Authorization for Specialized Physical Health Care Plan Eng/Spn

Physician's Authorization for Specialized Physical Health Care Services

Record of Training for Specialized Physical Health Care Services- Multiple Nurse Trainers

Record of Training for Specialized Physical Health Care Services- Single Nurse Trainer

 
 
 
 
 
 
 
 
 

Free Person Wearing Ankle Foot Orthosis Stock Photo

 

ORTHOPEDIC IMPAIRMENTS

 

Orthopedic Impairments Consultation Form

Orthopedic Impairments/TBI Teacher Input Form 

Orthopedic Impairments/TBI Input to Multidisciplinary Assessment Report

 
 
 
 
 

Free A Girl Using Both Hands to Read Braille Stock Photo

 

CALIFORNIA SCHOOL FOR THE BLIND LOW VISION ASSESSMENT

 

California School for the Blind Brochure

California School for the Blind Low Vision Clinic Referral form

Parent Permission Form

Patient Information Form

Referral Cover Letter