Committee on Preschool Special Education Office (CPSE)
District Number
Address
Re: Child’s name and date of birth
Date
Dear Chairperson,
I am referring my child, name, for a full evaluation because I believe that my child may require special education programs or services. I would like my child to receive the following evaluations: psychological, psychoeducational, occupational therapy, physical therapy, speech and language pathology (include all evaluation requests, delete those not requested).
I look forward to hearing from you.
Sincerely,
Your name
Your address
Your telephone number
Notes
Keep a copy of the letter for your records.
If you haven’t heard from the district or received the consent form to evaluate within 10-14 days, contact CPSE to follow up.
Contact information for the CPSE Offices can be found on the NYCDOE website. If you do not know your district, type your address here to find out.
Evaluations must be free of charge.
Evaluations must be conducted in all areas of suspected disability and in the child’s native language.
It may be helpful to attach a doctor’s note requesting specific evaluations. For more information about the referral and evaluation process, read our Special Education Timeline tip sheet.
You can request a meeting with your preschooler’s IEP team at any time to discuss making changes to the IEP. Here is a sample letter that you can send to request the CPSE meeting.
If there is a concern about a preschool child’s development, families and professionals can learn how to refer a child for preschool special education services.
You are entitled to copies of your child’s educational records. Here is a sample letter you can use to make this request at your child’s school or local CPSE office.
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