Exhibit 1 - Learning Disabilities- NASET Coding System and Guide IEP Format WITHOUT Explanations

[EXHIBIT 1]

Learning Disabilities 

 NASET Coding System and Guide IEP Format WITHOUT Explanations

INDIVIDUAL EDUCATIONAL PROGRAM

School District/Agency:     Barlow School District

Name and Address:       Edison Township, Va.

Section 1- Background Information

Student Name:          Julian Danna

Date of Birth:2/5/2002         Age:    14

Street: 13 Benson Ave.

City:    EdisonZip: 19876

Date of Referral for Committee Review: March 17, 2016
Telephone: 999-6758976     County of Residence: Edison Township

Male _X_ Female __ Student ID#: 3467H Current Grade: 9
Dominant Language of Student: English    Interpreter Needed: Yes___ No _X__

Medical Alerts: none

Mother’s Name/Guardian’s Name: Leona

Street Address: same

City:    same    Zip: same

Telephone: same        County of Residence:

Dominant Language of Parent/Guardian: English Interpreter Needed: Yes__ No _X_

Father's Name/Guardian's Name: Malcolm

Street Address: same

City:    same    Zip: same

Telephone: same        County of Residence: same

Dominant Language of Parent/Guardian: English Interpreter Needed: Yes__ No __X_

Section II-Type of Meeting:

A-Initial Evaluation

1.   Date of Initial Evaluation Meeting: March 2, 2016

2.   Area of Suspected Disability - (NASET Coding System and Guide Level I Diagnosis)-Learning Disabilities

3.  Origin of Evaluation used in determining classification:

  • In-school ___X____ Non-school Personnel Evaluation_____

4.  Components of Present Evaluation:

  • Individual Standardized Testing   ___X____       
  • Informal Assessment Measures ____X___ (i.e. Portfolio Assessment)
  • Observation ___X___
  • Social History ___X___
  • Teacher Reports ___X___
  • Interviews with Child ___X___
  • Review of Medical Records ___X____

5. Specific Areas Covered in Evaluation:

  • Intelligence Testing ___X____
  • Academic Testing ___X___
  • Medical Evaluation ____X____
  • Speech Language Evaluation_______
  • Occupational Evaluation ___X____
  • Other (Be Specific) _________
  • Audiometric Evaluation _______
  • Psychiatric Evaluation _______
  • Psychological Evaluation ____X___
  • Portfolio Assessment ___X____
  • Curriculum Based Assessment_______
  • Authentic Assessment ___X_____
  • Task Analysis ____X____
  • Outcome Based Assessment ________
  • Learning Styles Assessment ____X____

6. Committee Recommendations:

Classification (NASET Coding System and Guide Coding)

Level I-Learning Disabilities                                                             LD

Level II- Dyslexia                                                                               LD 4.00

Level III- Dysphonesia Dyslexia                                                        LD 4.07

Level IV                                                                                            Not Applicable

Level V                                                                                               Mild

Level I-Learning Disabilities                                                             LD

Level II- Dyscalculia                                                                         LD 2.00

Level III-Temporal Dyscalculia                                                         LD 2.12

Level IV                                                                                             Not Applicable

Level V                                                                                               Moderate

                                                                                   

Level I-Learning Disabilities                                                              LD

Level II-Organizational Disorder                                                       LD 9.00

Level III-External disorganization Disorder  LD 9.04

Level IV                                                                                             Not Applicable

Level V-                                                                                              Moderate

Level I-Learning Disabilities  Code:                                                   LD

Level II-Visual Processing Disorder                                                  LD 12.00

Level III-Visual Motor Processing Disorder                                      LD 12.09

Level IV                                                                                             Not Applicable

Level V                                                                                               Mild


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