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SNAPSHOT REVIEW INTAKE FORM

Please complete the information below and upload your child's most current IEP. This Snapshot Review is designed to provide a parent-friendly overview of your child's educational program, identify key discussion points, and help you prepare for future meetings.

SECTION 1: STUDENT INFORMATION

Student Name

Age

Date of Birth

Grade

School District

Disability Classification

Upcoming Meeting Date

Type of Meeting

SECTION 2: PARENT / GUARDIAN INFORMATION

Parent / Guardian Name

Relationship to Student

Email Address

Phone Number

SECTION 3: MAIN CONCERN

What is the primary concern that led you to request this review?

There is no need to use special education terminology. Simply explain your concerns in your own words.

SECTION 4: CURRENT CONCERNS

What are your biggest concerns right now?

Examples may include:
• Academic progress
• Services and supports
• Communication
• Behavior
• Social skills
• Transition planning
• Graduation
• Placement
• Safety concerns
• Transportation

Please describe your concerns in your own words.

SECTION 5: DESIRED OUTCOME

What are you hoping to accomplish through this review?

Examples may include:
• Better understanding of the IEP
• Questions to ask at the next meeting
• Additional services
• Improved communication
• Better planning for the future
• Clarification of goals and supports

Please describe what you would like to see happen.

SECTION 6: CURRENT IEP UPLOAD

Please upload your child's most current IEP

SECTION 7: ADDITIONAL INFORMATION (OPTIONAL)

Is there anything else you would like us to know?

SECTION 8: ACKNOWLEDGMENT

I understand that this review is provided for educational and informational purposes only. It is not legal, medical, psychological, or therapeutic advice, does not create an attorney-client relationship, and does not determine whether a school district has violated federal, state, or local law.

I understand that any observations, recommendations, or comments provided are professional educational opinions intended to help me better understand my child's educational records and prepare for discussions with my child's educational team.

I understand that I am voluntarily submitting my child's educational records for review. While reasonable efforts are made to protect submitted information, no method of electronic transmission or storage can be guaranteed to be completely secure.

I have read and understand the statement above.