MIAMI-DADE COUNTY PUBLIC SCHOOLS
MIAMI-DADE COUNTY PUBLIC SCHOOLS
DIVISION OF STUDENT SERVICES CASE #: 3-99-1000
MULTI-DISCIPLINARY TEAM REPORT
Initial Evaluation
STUDENTS NAME: SEX: female GRADE: 3rd
DATE OF BIRTH: 6-7-90 SCHOOL:John I. Smith Elementary School
ADDRESS:9900 NW 44th Terrace, 33178 ETHNIC ORIGIN: H
HOME PHONE: 639-3250
DATE OF CURRENT EVALUATION: 5-26-99
ASSESSMENT AREAS
ADAPTIVE BEHAVIOR/SOCIAL HISTORY
PSYCHO-EDUCATIONAL
VISION
HEARING
SPEECH/LANGUAGE
OBSERVATIONS
REFERRAL INFORMATION
REFERRAL FORM/STRATEGIES
ATTACHMENTS
PERMISSION TO CONDUCT AN EVALUATION EXAMINER
T. Hankerson
Maria Gibed A:O:311es, Ed.S.
Siddons
Nolan
Wllensky
Wllensky
Bello
Blandon
CST
Ginny Hernandez DATE
COMPLETED
11-24-98
5-26-99
11-23-98
6-4-99
2-9-99
2-9-99
12-3-98
11-2-98
11-6-98
11-6-98
CONFIDENTIAL MM08-S NUEVA-000069
3501.160-029
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