Documents



   General
Acronym List
Special Education and acronyms, what do they all mean? Recommended for educators, service providers, and families.
Background Check Forms
There are a total for 5 forms. The prospective employee fills out the first 3 and those get returned to me. The last 2 pages (Summary of Rights) are to be given to the employee for their records. It lists their rights should something appear on the report that they wish to dispute.
Birth to Three Referral Form
If you are physician, educator or parent, please feel free to download this referral form and return to ESU #3
Early Development Network
Do you have a concern for your baby or child?
ESU #3 Referral Form Birth - 21
Do you have a concern about your child? Are you a physician and need to make a referral for a child? Please feel free to use our referral form.
HIPAA Rule, US Dept. HHS
The Privacy Rule, as well as all the Administrative Simplification rules, apply to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with transactions for which the Secretary of HHS has adopted standards under HIPAA (the “covered entities”). For help in determining whether you are covered, use the decision tool at: http://www.cms.hhs.gov/hipaa/hipaa2/support/tools/decisionsupport/default.asp.
Library Catalog for Autism
Please feel free to peruse the Autism Library Catalog. If you are interested in checking out one of the items in the catalog please contact Christy Vlcek-Baker in the Student Services Department at 402-597-4932.
Library Catalog for Student Services
Please feel free to peruse the newly created Student Services Library Catalog. If you are interested in checking out one of the items in the catalog please contact Student Services at 402-597-4958.
Parental Rights - English Version
As a parent of a child with a disability, you have certain rights which are guaranteed by state (Rule 51) and federal (Individuals with Disabilities Education Act {IDEA}) laws. Those procedural safeguards, or rights, are contained in this document. If you would like further information or have any questions regarding your rights, you may wish to contact your school district’s superintendent or special education director. You may also contact: Nebraska Department of Education Special Populations Office 301 Centennial Mall South P.O. Box 94987 Lincoln, NE 68509 402.471.2471
Parental Rights - Spanish Version
As a parent of a child with a disability, you have certain rights which are guaranteed by state (Rule 51) and federal (Individuals with Disabilities Education Act {IDEA}) laws. Those procedural safeguards, or rights, are contained in this document. If you would like further information or have any questions regarding your rights, you may wish to contact your school district’s superintendent or special education director. You may also contact: Nebraska Department of Education Special Populations Office 301 Centennial Mall South P.O. Box 94987 Lincoln, NE 68509 402.471.2471
Parental Rights in Education - Vietnamese Version
As a parent of a child with a disability, you have certain rights which are guaranteed by state (Rule 51) and federal (Individuals with Disabilities Education Act {IDEA}) laws. Those procedural safeguards, or rights, are contained in this document. If you would like further information or have any questions regarding your rights, you may wish to contact your school district’s superintendent or special education director. You may also contact: Nebraska Department of Education Special Populations Office 301 Centennial Mall South P.O. Box 94987 Lincoln, NE 68509 402.471.2471
Request Form to Attend Professional Development
Please feel free to use our web form for Professional Development Training.
Requisition for Student Services
New purchase requisition form. This form is writeable
Rule 52
NDE Rule 52
Vision Screening Form
This screening form is used by educational personnel in collaboration with team members and parents to determine if a full vision evaluation is required