Case Conference Committee Report Page 4
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6Case Conference Committee Report
Services and Other Provisions
Service*
Description
Initiation
Frequency
Length
Duration
Location
Total
_
_
_
_
Transportation: The transit time and the transportation needs _____ are _____ are not the same as that of non-
disabled peers.
Health Plan: _____ The student has a medical condition that requires school health services or school nurse.
Accessible Materials: The student _____needs _____does not need instructional materials to be provided in an
accessible format.
The environments, tasks, tools and services related to the provision of accessible instructional materials include:
Assistive Technology: The student _____ needs _____ does not need assistive technology.
Student Name: ________________________________
Conference Date: __________________
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