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Illinois Assistive Technology Program

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  • WELCOME
  • ABOUT US
    • ABOUT US
    • OUR IMPACT – ANNUAL REPORTS
    • IATP POSITION OPENINGS
    • MARKETING MATERIALS
  • HOW WE HELP
    • INFORMATION & ASSISTANCE
    • SEE A DEVICE
    • TRY A DEVICE
    • RECYCLE OR REUSE A DEVICE
    • FINANCIAL LOANS FOR AT
    • TRAINING & TECHNICAL ASSISTANCE
    • INFORMATION & COMMUNICATION TECHNOLOGY ACCESSIBILITY (ICT)
    • AT POLICY & ADVOCACY
  • EVENTS
    • IATP CONFERENCE
    • TRAININGS & WORKSHOPS
    • PUBLIC AWARENESS EVENTS
    • OTHER EVENTS
  • CONTRACTED SERVICES
    • ILLINOIS CARE CONNECTIONS
    • ISBE EVALUATIONS
    • VOCATIONAL REHABILITATION ASSESSMENTS
    • CATADA
    • WORK INCENTIVES PLANNING & ASSISTANCE

Initial Referral for AAC/AT Evaluation

Complete The Following for the Person Requesting The Evaluation (District Staff ONLY may be Requestor)

   
   
   

Contact Info for Point Person (This Individual Will be Responsible for Filling out Information Packet)

 
 
 
 
   
 
 

Complete this Section for the Student who will Receive the Evaluation

   
   
   
 
 
 
 
   

School

   
   
   
   
   
   
   

State the Reason for Referral and the Goal of Evaluation

Evaluation Type

Due to Covid-19 restrictions we are offering remote evaluations in addition to our standard in-person visits. All precautions will be taken for physical visits, including masks, gloves, and gowns (if necessary). Please select the type of evaluation preferred.
Evaluation Type (Required):

Release of Information / Disclaimer



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