Special Programs Arkansas

Referral Conference Decision

The Referral Conference Decision documents the outcomes and decisions as a result of the Referral Conference Meeting.

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A detailed technical reference and explanation of all fields and data notations of this form is provided here.

Completing the Referral Conference Decision Document

  • Select the Referral Conference Decision document link auto-generated as a superseding document to the Referral document.

  • The Student Information section of the document will auto-populate the following data and is read-only.

    • Student Name 

    • ID

    • Date of Birth

    • Age (calculated using the Referral date)

    • Grade

    • School/Site

  • Select “Will Sign Paper Copy” if the parents will sign a paper copy of this document.

Will Sign Paper Copy 
Select Will Sign Paper Copy if parental response and consent will be collected on a paper copy and not via electronic signature.   
If the parental response will be collected electronically, refer to “How to sign a document through digital signature” 

  • Upon creating of the document, the system will import in the Referral Date from the linked Referral document. The field is required. The user can edit the date value.

  • Use the date picker or manually enter the Referral Conference Decision Date.

  • Select the appropriate evaluation decision. Only one value can be selected.

    • Comprehensive Evaluation

    • No Evaluation Needed

    • Specialized Evaluation

    • Other (specify) - if selected, enter required description

  • In “Method used to present rights”, select one or more of the following options (required):

    • In person

    • By Mail

    • E-mail

  • Complete the Referral Committee Member List 

    • Parent(s)/Guardian(s) will auto-populate from Student Contacts Profile where Receives Mail is selected.

    • Teacher (required)

    • Principal or Designee (required)

    • Select + for additional member entry lines.

To add an additional person, click the + or the icon and a new row will appear.

Use the Up and Down icons to change the order. Use the X icon to remove a row entry.

  • Public Agency Representative value can be populated by using the lookup or non-lookup option.

For each participant, their Signature and Date of signing are recorded in this section.

  • Use the lookup or Non-lookup feature to select Public Agency Representative and enter the Date of signature (if Will Sign Paper Copy is selected, date is not editable).

  • Click Save, Done Editing.

If there are required fields not yet completed, the system will display the following error message:

Section was saved but is incomplete until all required fields (pink highlighted) are filled.