School Special Education Coordinator/Principal or Committee on Special Education Office (CSE)*
Address of CPSE/CSE Office
Child’s name, date of birth, name of school, ID, or OSIS#
Date
DearCPSE/CSE,
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 the following evaluations to be conducted: psychological, psychoeducational, occupational therapy, physical therapy, speech and language pathology, functional behavioral assessment(include all evaluation requests, delete those not requested).
I consent to electronic communication and I am available to sign the consent to evaluate as soon as it’s available. 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 school or received the consent to evaluate within 10-14 days, contact them to follow up.
Children who attend public school are evaluated by their school’s IEP Team. Children who attend private, charter, parochial, state-approved non-public schools, or are not in school are evaluated by the CPSE or CSE Office according to the district in which your child lives. Contact information for the CSE Offices can be found on the NYCDOE website.
Evaluations are 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.
If the school district fails to evaluate your child, or if you disagree with the results, you have the right to request an Independent Educational Evaluation (IEE).
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If the school district fails to evaluate your child, or if you disagree with the results, you have the right to request an Independent Educational Evaluation (IEE).