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CONFIDENTIAL PSYCHOLOGICAL REPORT

CONFIDENTIAL . PSYCHOLOGICAL REPORT . Name: School: County School Date of Birth: Evaluation Date: 3/ 15/2012. Age: 15 years Examiner: MS, Ed. S. Grade: 9th REASON FOR REFERRAL. was referred for an evaluation by the Response to Intervention Team at County School for a re-evaluation to gain information about his current Individual Educational Plan and school placement. BACKGROUND INFORMATION. Developmental History: mother received poor prenatal care during pregnancy and only gained 6 to 8 pounds. She was reported to have smoked cigarettes and drank caffeinated beverages during the pregnancy. was born three weeks early and weighed 6 pounds, 10 ounces.

CONFIDENTIAL PSYCHOLOGICAL REPORT Name: Date of Birth: Age: 15 years Grade: 9th REASON FOR REFERRAL School: County School Evaluation Date: 3/15/2012 Examiner: MS, Ed. S. was referred for an evaluation by the Response to Intervention Team at County School for a re-evaluation to gain information about his current Individual

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