SESA Mutual Exchange of Information (MEI), Completed and signed by child’s guardian
District Referral Agreement, Signature of Special Education Director Required
Medical or school report documenting child’s diagnosis
Current, signed Individualized Education Plan (IEP)
Current, signed Evaluation Summary and Eligibility Report (ESER)
What type of medical records/reports do I need to submit?
Medical or psychological report including the diagnosis of autism
Deaf & Hard of Hearing
Recent audiogram from audiologist
Audiogram from audiologist & eye report from an ophthalmologist/optometrist
Medical, related service, and psychological reports specific to disability
For students with medical condition(s) that directly impact their educational access, medical records/reports OR SESA Mutual Exchange of Information for those records is needed.
You may provide any current and/or relevant evaluations, which are part of the student's educational record in support of eligibility determination and need for services. Such evaluations could be conducted on behalf of the school district (e.g., school psychology) OR by outside providers (e.g., medical, psychiatric, clinical or neuropsychology evaluations).
Optometrist/ophthalmologist report (i.e., acuity of 20/70 or poorer in the better eye with correction and/or a visual field restriction of 20 degrees) or a report diagnosing a physical eye condition that affects visual functioning.
Who provides the documents?
The requesting school district completes the SESA forms, obtains parental signature(s), provides the required documents, and sends the referral to SESA.
How will I know if my referral was approved?
All approved referrals will be issued a Notification of Status which will be emailed to the referring Special Education Director confirming the service effective date and assigned specialist.
How long does the referral process take?
The turnaround time on a completed referral is 10 business days. A lead specialist may require additional information to determine eligibility of services (e.g., diagnostic reports, medical reports, etc.). If this information is received in a timely manner, the review process will continue and a Notification of Status will be provided to confirm status.
How soon will a SESA Specialist be sent to our site to provide services?
Once a student is assigned to the SESA caseload, the assigned specialist will initiate contact with the Special Education Director and teacher to develop a plan of service based on student and team needs.
What happens during a SESA site visit?
Common activities during a site visit may include: contract with SPED Director, student observation, meetings with student’s team, modeling of interventions for teachers and paraprofessionals, parent/family contact, creating model tools (e.g., social stories and visual schedules), and exit meeting describing recommendations.
What if I don’t want to fill in the online referral form?
There is an option for downloading all required documents for the SESA Standard Referral and emailing them to SESA at firstname.lastname@example.org.