Consultation is provided to the staff working with a student presenting physical challenges for which there is need of additional input regarding diagnosis, intervention or management.


The MISD Physical Therapist assists the local school district by providing:



As determined by the therapist and the referring district.


Referral Procedures:

A Form 2 Referral is sent to the MISD Support and Related Services.  The service requested on the referral is “Consultation, Physical Therapy”.


The following documents should be enclosed with the referral:

0 -- Current Eligibility Report(s)

0 -- Current IEP

0 -- Current REED Report(s)


0 -- Physical Therapy Referral Form


Referral Response:

The therapist contacts the staff person listed as the contact person on the referral to develop a specific service plan.  After staff consultation and observation, possible alternatives are discussed and recommendations are developed.  A follow up review is scheduled.



A written report of observation and recommendations is written.



If the need is staff related, perhaps a request for general information on specific classroom accommodations can be made and will not involve the student or parent directly.


Form Links:

Form 2 (signed by Parent and Special Education Director)

Physical Therapy Referral Form (Sent with Form 2)


Updated: April, 2010