Intensive Supports Forms and Manuals

We are a “CLEVR” School Division

Find CLEVR link on our Staffroom Main Page or Click Here

The following forms are now available in CLEVR:

• ARTO Stage 1 Form
• Collaborative Meeting Notes Form
• Inclusion and Intervention Plan (IIP) Form
• Psycho-educational Assessment Referral Form
• Release of Confidential Information Form
• School Social Work Contact Log
• School Social Work Referral/Consent Form
• Student Incident Report
• Student Safety Plan
• Student Supports Log
• Student Suspension Form
• Temporary Medical Exclusion Form

A series of CLEVR tutorials (Word Doc and Video) have been developped by our IS Consultants and are available in Edsby via the Inclusive Education Coaches User Group.
If you require further assistance, please contact your Intensive Supports Consultant.

Student and Staff Safety

Student Safety Plan (CLEVR)

At-Risk Student Transfer: Sending Principal’s Checklist

At-Risk Student Transfer: Receiving Principal’s Checklist

SRPSD Child Protection Protocol

SRPSD Child Protection Protocol: Appendix A – Report of Suspected Abuse

SRPSD Child Protection Protocol: Appendix B – Interview Tracking Form

Prescribed Medication Form

Anaphylaxis Protocols and Resources ( PDF ) ( Word )

Saskatchewan School Seizure Action Plan

Lifts and Transfers Manual

Feeding Tube Manual

Schools and Mental Health Services:  Interventions and Referrals Guidelines

Principles of Safe Body Mechanics: Posture and Object Moving (SK Assoc. for Safe Workplaces)

***NEW*** SRPSD Mental Wellness Handbook

Emergency Response

Emergency Response Plan

Supporting Students Through Grief: Teacher Resource Package

Responding to Death by Suicide: An Administrator’s Guide

Violence Threat Risk Assessment Quick Reference Guide for Administrators

Violence Threat Risk Assessment Level 1 Form (CLEVR)

Violence Threat Risk Assessment Level 2 Form

Specialized Learning Centres / Alternative Education / Functional Integrated Programming

Dev. Ed. SLC Placement: Parental Consent Form

EAL SLC: Parental Consent Form

Functional Integrated Program: Parental Consent Form

Alternative Education Program: Informed Consent Form

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Communication and Collaboration

Collaborative Meeting Form (CLEVR)

Release of Confidential Information Form (CLEVR)

Needs Analysis

School Support Allocation Plan

NEST – Contact your IS Consultant

Educational Planning

Inclusive Education: IEC Orientation Manual

SRPSD Inclusive Education Look-Fors
(Purposeful and Responsive Classrooms)

Student Profile

Record of Adaptations (CLEVR)

Tech Aid Request (CLEVR)

Inclusion and Intervention Plan (IIP)

STEP: Scaffolding Tool for Educational Planning

Essential Learning Experiences

***NEW*** Adjusted Program Progess Reports

Elementary

• 2 Terms, 6 Outcomes
• 3 Terms, 6 Outcomes

High School

• 2 Semester Schedule
• Block Schedule

Educational Psychology

Learning Disabilities Handbook for Parents and Teachers

Educational Assessment (Woodcock Johnson): Parental Consent Form

Psychoeducational Assessment Referral Form (CLEVR)

***NEW*** Psychological Assessment – Parent Consent for Referral ***NEW***

Speech Language Pathology

Speech Language Pathology Parental Consent Form (CLEVR)

Occupational Therapy

Occupational Therapy Consent Form

Use of Weighted Items (SSOT Article)

School Social Work

School Social Worker Referral Form (CLEVR)

School Social Worker Parental Consent Form (CLEVR)

School Social Worker Mature Student Consent Form (coming soon)

Ministry of Education Documents

• Inclusive Education (2021)
• Deepening the Discussion: Gender and Sexual Diversity
• Inclusive Education: A Guide for Classroom Teachers
• Inclusive Education: A Guide for Educational Support Teachers
• Inclusive Education: A Guide for School-Based Leaders
• Responsive Instruction: Classroom Level Supports – Multi-Level Instruction
• The Adaptive Dimension
• Actualizing a Needs-Based Model
• ***NEW*** Supporting Student Assessment in Saskatchewan
• Inclusion and Intervention Plan Guidelines
• Policy Guidelines and Procedures for Alternative Education Programs
• Policy Guidelines and Procedures for Functional Integrated Programs
• Saskatchewan Child Abuse Protocol
• Teaching Students with Autism: A Guide for Educators
• Teaching Students with Visual Impairments
• Planning for Students with Fetal Alcohol Spectrum Disorder
• Creating Opportunities for Students with Intellectual or Multiple Disabilities

Community Agencies

Autism Services

• Autism Services Referral Form

Child and Youth Development Clinic (CYDC)

• CYDC Brochure
• CYDC Referral Form

Cognitive Disabilities Strategy

• CDS Information
• CDS Application Form
• CDS Renewal Form
• Flexible Funding Eligibility Form

Prince Albert Early Childhood Intervention Program

Referral for Services Form

Mental Health and Addictions Services

• Mental Health and Addictions Referral Cover Letter
• Mental Health and Addictions Referral Form (Electronic)
• Mental Health and Addictions Referral Form (Handwritten)

Saskatchewan Health Authority

• Communicable Diseases – Information and resources

YWCA – Settlement Workers in Schools (SWIS)

• SWIS Pamphlet
• SWIS Referral Form
• SWIS Consent and Release of Information Forms

Prince Albert HUB

• HUB Referral Form (PDF Fillable)
• HUB Written Consent Form
• HUB Verbal Consent Form