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Madison Metropolitan School District

Early Childhood Request for Assistance - Child Find

Child Find Developmental Screening will resume in September for the 2021-22 school year.

This form is for preschool children within the Madison Metropolitan School District.

The first step in this process is gathering information about the child by filling out the form below. This information is important for us to have whether you would like a Child Find screening or are making a referral for Special Education. It is essential that you make every effort to provide detailed information in the request form.

If we do not receive detailed information, an email will direct you to resubmit your request for assistance.

Private/Parochial

If you are the parent of a child enrolled at a private/parochial school within Madison, you may contact your child's teacher or school administrator for intervention information. Check the MMSD Private/Parochial webpage for more information.

Call the Information Line at (608) 663-8471 if you need assistance in completing the form and when making an immediate referral to evaluate your child for Special Education.

Special Education Evaluation

If you feel your child may have a disability and you feel an immediate need for a special education evaluation, complete the "Early Childhood Request for Assistance" form below AND call the Child Find Line to request an evaluation at (608) 663-8471.

Required

Child's Information

Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Genderrequired
Is this child Hispanic or Latino?required
Select one or more of the following categories that apply to this studentrequired
On weekdays the child is atrequired(Check all that apply)
(Check all that apply)

Parent / Guardian Information

Namerequired
First Name
Last Name
School Attendance Arearequired
Does the child spends time at 2 different households?required

2nd Parent / Guardian Information (if applicable)

Since the child spends time at 2 different households, please enter the information for the second household here.

Namerequired
First Name
Last Name
School Attendance Arearequired

Information About Person Making Request

Namerequired
First Name
Last Name
Relationship to Child
Do parent(s) / guardian(s) give permission for school staff to observe the child if necessary in the weekday settings listed above?required

Childcare / Preschool Information (if applicable)

Child Concerns & Information

This request is for concerns in the area(s) ofrequired(check all that apply)
(check all that apply)
Has your child had an evaluation in any area of development(check all that apply)
(check all that apply)

For each item checked above, please fax reports to 608-204-0349, Attn: Christine Tormey.

After you have submitted your request and it has been processed, you will receive followup paperwork in the mail. This paperwork will be sent to the child's family.