LTCY 520
Dr. Pam Petty
Identification of student/clinician date of report:
Additional background information of observations:
*test/retest information
*anecdotal records
*informal interview information
* reading/writing conferences
*statement of student strengths
Comments:
Diagnostic Summary
*statement of intervention
Comments:
Intervention Summary:
*Description of what was done and why
*linkage of instructional goals to specific activities
*listing of changes in the instructional program
Comments:
Summary of Progress:
*Description of student's current performance
*use of quantitative and/or qualitative evidences
as needed
*Description of types of texts, tasks, or skills
needed
*focus on continued problematic areas
Comments:
Recommendations:
*changes in instructional focus if needed
* reading support services
* need for continued support at home
Comments:
TOTAL POINT VALUE FOR PROGRESS REPORT: ________________