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Horizon School Division
Creating a better world, one student at a time.
Student Services


(click the image above to access the clevr login page)

How to - CLEVR procedures January 2022.pdf

Student Services Support Videos

Student Services Forms:

Meeting Notes, Observation and Consult Recommendations

Counseling Recommendations Form.doc

Roles and Responsibilities

Refusal of Educational Assistant (EA) Assistance.doc

Planning Support Forms, Adaptation for Vision and Hearing

Classroom Adaptations Checklist for Student with Hearing Lo.doc

Classroom Adaptations Checklist for Student with Vision Los.doc

Release of Info Forms, Medication Forms, Autism Services

Confirmation of Investigation - Social Services or Police S.pdf

Consent to Release Exchange and or Obtain Information.doc

Kelsey Trail Health Region ASD Referral Form.pdf

Medication Log.doc

Saskatoon Health Region Autism Intervention Program.pdf

AF 312 Parent Request for Prescribed Medication form.pdf

AF 312 Prescribed Medication - Physician's Form.pdf

TAB, Modified, Alt Ed, FI

Parent Caregiver Consent for TAB Placement.doc

Parent-Caregiver Consent or Refusal for Alt Ed Placement revised 2021.pdf

Parent-Caregiver Consent or Refusal for FI Program revised December 2021.pdf

Parent-Caregiver Consent or Refusal for Modified Education.pdf

Permissions and Referrals, SLP, OT, Counselors, Psy, LRT

Horizon SLP Service Delivery Model September 2022.pdf

Consent for Learning Resource Teacher Assistance.doc

Counseling Recommendations Form.doc

Counseling Referral - Completion Form.pdf

Counseling Self-Referral Form --CLEVR.doc

Refusal of Learning Resource Teacher (LRT) Assistance.doc

Refusal of Services.docx

SLP Review Summary (fall) Form.doc

SLP Year End (June) Summary Form.doc

AT Form, Home Use of Laptop or iPad Form

Assistive Technology-Transfer Form.pdf

Home Use of Laptop or iPad by a Student Form.doc

Impact Assessment Form

2022-2023 Impact Assessment - March 2022.pdf

Individual Group Planning Fors for (EYE-TA) Kindergarten

Individual Group Planning Forms for (EYE-TA) Kindergarten .docx

Settlement Workers in Schools (SWIS)

SWIS Website

SWIS Referral Form (for schools).docx

SWIS Release Form.docx

Humboldt Regional Newcomer Centre Website