Referrals
Referral Forms:
GSSD Student Services Referral Form (updated Oct 2011)
GSSD SS Authorization for Release of Information
GSSD Referral Process
After careful consideration of the GSSD Continuum of Student Support and GSSD Procedures for Referrals, if school teams wish to refer a student to the GSSD team of Professional Service Providers, they must complete the GSSD Student Services Referral Form (revised Oct 2011) outlining concerns and indicating questions they would like the PSP team to address. The GSSD SS Consent for Services form must also be signed and attached. Once submitted to the SSC, the complete referral will be brought forward at the Monthly PSP Referral Intake Meeting where the team will collaborate to discuss how the referral will be addressed and assign a lead PSP to the referral.
You are encouraged to complete and attach any of the additional forms listed in the posts below to provide additional information to the PSP team (ie. speech checklist, psychologist background questionaire etc.) Please attach information regarding interventions and adaptations already attempted to this point, how successful they have been, and include up to date assessment information such as WJIII, F & P, Key Math etc.
Note: Completed School Counsellor Referrals should continue to be forwarded to the School Counsellor who will forward a copy to the Student Services Coordinator.
Psychologist Background Questionaire Forms
Parents/guardians can either return this form to the school or send it directly to the Psychologist. Send the completed referral along with WJIII results and any other important documentation (prior reports, assessment information etc.) to your Student Services Coordinator.
OT Forms
For the North cluster and Melville area schools, please provide the parents with a copy of Maureen’s Referral Information document below.
School Counsellor Referals
Complete the following two forms with principal & SST signatures, and forward to your School Counsellor. The School Counsellor will forward a copy of the referral to your Student Services Coordinator.