Service Location Minutes/Frequency

Speech and/or Language Services Speech-language office 25 minutes Weekly

Occupational Therapy Special Education Class 15 minutes Monthly

Program accommodations, modifications, and supports for school personnel and/or

supplementary aids in his/her general education programs: Frequency
Procedure Change: Paraphrasing Daily
Response Adaptation: Checking Completeness Daily
Setting Adaptation: Minimized Distractions Daily
Setting Adaptation: Small Group Setting Daily
Sensory Breaks (outside of the classroom) if needed Daily
Peer note-taking and homework organization assistance Daily
Multi-step directions available in print or written on board Daily
reduce assignments for quality over quantity to demonstrate his understanding Daily
Option to respond orally or on a computer to all tests and quizzes Daily
Scheduling: Extended Response Time Daily
Prompts for how much time is left in class or completing assignments Daily

[ ] Check if transportation will be provided as a related service.

[ ] Check if mechanical restraint will be used during transportation. A mechanical restraint or device is used during
student transportation to keep a student injuring or endangering him/herself or others.

Projected initiation of services: 09/26/19 Anticipated duration: 09/25/20

Dalin Miller - Page 4 of 11