EFTA01247277.pdf

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 DATE ASSESSMENT AREAS EXAMINER COMPLETED ADAPTIVE BEHAVIOR/SOCIAL HISTORY T. Hankerson 11-24-98 PSYCHO-EDUCATIONAL Maria Gibed A:O:311es, Ed.S. 5-26-99 VISION Siddons 11-23-98 Nolan 6-4-99 HEARING Wllensky 2-9-99 SPEECH/LANGUAGE Wllensky 2-9-99 OBSERVATIONS Bello 12-3-98 Blandon 11-2-98 REFERRAL INFORMATION REFERRAL FORM/STRATEGIES CST 11-6-98 ATTACHMENTS PERMISSION TO CONDUCT AN EVALUATION Ginny Hernandez 11-6-98 MM08-S NUEVA-000069 3501.160-029 CONFIDENTIAL Page I of I EFTA_00069497 EFTA01247277