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Hart County Special Education Department

Donna LeFevre
Director of Special Education

25 Quality Street
Munfordville, KY 42765
PHONE: 270-524-2631
FAX: 270-524-2634
donna.lefevre@hart.kyschools.us

 
SCHOOL PSYCHOLOGISTS

LeAnn Pinson, EdS, NCSP  
leann.pinson@hart.kyschools.us

Kristina Sidebottom, EdS, NCSP 
kristina.sidebottom@hart.kyschools.us

25 Quality Street
Munfordville, KY 42765
PHONE: 270-524-9345
FAX: 270-524-7193
 
Jane Ann Gibson, Psychologist Assistant
janeann.gibson@hart.kyschools.us




SCHOOL PSYCHOLOGY RESOURCES

National Association of School Psychologists: www.nasponline.org
Kentucky Association for Psychology in Schools: www.kapsonline.org



Additional parent resources found at www.parentinvolvementmatters.org



Click HERE for Online Resources for Psychologists, Parents, & Educators
which address the following topics:

Anxiety Disorders
Attention Deficit/Hyperactivity Disorder (ADHD)
Autism Spectrum Disorder (ASD)
Behavior and Conduct Disorders
Deaf and Hard of Hearing
Dissociative Disorders
Eating Disorders
Fetal Alcohol Syndrome
Gifted and Talented
Learning Disabilities
Nonverbal Learning Disabilities
Medical Conditions
Mental Disabilities
Mood Disorders
Selective Mutism
Speech and Language
Substance Abuse
SuicideTourette's Disorder
Traumatic Brain Injury (TBI)


 Click HERE for Online Resources for Psychologists, Parents, & Educators
which address the following topics:

Adolescence
Assessment and Evaluation
Brochures, Pamphlets, and other Documents
ERIC Clearinghouses
Functional Behavioral Assessment
Behavioral Intervention
Journals
Law and Education
Mental Health
Social and Emotional Development
Parenting and Family
Peer Resources
Professional Organizations
Research
School Psychology
Special Education
Violence & Terrorism
Other Reference Lists and Resources



Hotline Numbers Every Youth Should Have

The National Runaway Switchboard: 1-800-RUNAWAY

National Safe Place: text the word SAFE and your current location
to the number 69866 to get the address of the nearest 
"Safe Place" site and a phone number for the local youth shelter
 

 
Forms
Behavioral Interventions (FBA/BIP)
Behavioral Goals/Chores
Behavioral Intervention Plan (BIP)
Daily Point Sheet
Daily Point Sheet - Sample 1
Daily Point Sheet - Sample 2
Daily Point Sheet - Sample 3
Daily Point Sheet - Sample 4
FBA Request Form
FBA/BIP Template
Q&A for FBA/BIP
Core Content & Educational Guide
Character Education Guide
Collaborative Teaching Practices - Q&A
ELA Standards by Grade Level
Math Progressions Table
Math Standards by Grade Level
Due Process Forms
Appointment of Representative for Educational Decisions
ARC Meeting Invitation Notice - Annotated Version
Conference Summary - Annotated Version
Decline of Services
Determination of Student Representative
Excusal of ARC Member
Justification for Placement (LRE)
Parent Rights
Participation Guidelines for the KY Alternate Assessment
Record of Access
Release of Information - HIPAA
TEMPLATE: Conference Summary Minutes - Annual Review
TEMPLATE: Conference Summary Minutes - Initial Eval & Eligibility
TEMPLATE: Conference Summary Minutes - Referral
Verification of Previous Services
Evaluation/Reevaluation/Screening Forms
ADHD Screener Permission
Behavior Observation Form (General)
Behavior Observation Form - Interval Recording
Behavior Observation Form - Interval Recording Sample
Behavior Observation Form - Mass Trials
Behavior Observation Form - Repeated Trials
Behavior Observation Form - Repeated Trials Sample
Behavior Screener Consent (General)
Cognitive/Academic Screening Permission
Motor Screener Form
Physician's Medical Questionnaire - ADHD
Physician's Medical Questionnaire - General
Reevaluation Checklist for DoSE
Reevaluation Request for Information
Referral - Annotated Version
Referral Checklist
Social-Developmental History
Teacher Input Form
Triangulation of Data (Guide)
Vision/Hearing/Communication/Observation Screener Consent
Hart County Special Education Policies & Procedures
Policies & Procedures 2008
High School -Transition & ILP Forms
Destruction of Records Letter
Dropout FAPE Letter
Dropout Prevention Form
KY Transition News - Summer 2012
Multi-Year Course of Study
Release of Student Records to Third Party
Summary of Performance
Summary of Performance-Live Form
Transfer of Parental Rights/Guardianship
IEP Forms & Documents
ESY Form
ESY Guidelines
I have read and understand....
IEP Addendum Process (Directions)
IEP - Annotated Version
IEP - Development Tool
IEP - Lesson Plan Handbook
IEP - Progress Data Collection
IEP - Progress Monitoring Directions
IEP - Progress Monitoring & Summary: Objectives #1-4
IEP - Progress Monitoring & Summary: Objectives #5-8
LRE-Guide for Determining Placement
LRE-Guide for Determining Placement (Preschool)
Measurable Goal Template
Monitoring Document - Sample 1
Progress Monitoring
KDE Record Review
2012-13 KDE Record Review Compliance Document
Medicaid
Medicaid Release for Billing
Miscellaneous
New Student & Exiting Student Form
Related Services (Occupational Therapy, Physical Therapy, & Speech/Language - Communication)
Guidance for OT, PT, & S/L in the School
Guide to Normal Speech Development
Speech & Language Screener Referral
Speech Sound Production Cues
Speech Therapy Monitoring
Response to Intervention
Research Based Intervention Resources
RTI Progress Monitoring & Summary: Objectives #1-4
RTI Progress Monitoring & Summary: Objectives #5-8
Safe Physical Crisis Management (SPCM) Forms
Safe Crisis Management Form
School Psychologist
Assessment Results Profile
EBD Evaluation Worksheet
EBD Evaluation Worksheet - SAMPLE
GAI Worksheet
LD Discrepancy Form
OHI Guide
Spanish Forms
Consent for Evaluation/Reevaluation
Consent for Special Education & Related Services
Evaluation Planning
Notification of ARC Meeting
Parent Questionnaire for Attention & Behavioral Concerns
Referral for Initial Multidisciplinary Evaluation
Social & Developmental History Questionnaire
Teacher Assistance Team Forms
Documentation of Interventions
TAT Checklist
TAT Meeting Record Form
TAT Request Form
Teacher Input Form for TAT