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New Category of Disability |
New Line No. |
Old Category of Disability |
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A. Neurodevelopmental |
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a. ADHD |
01 |
Included in Line 1 Learning Disabilities |
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b. Autism Spectrum Disorder |
02 |
Included in Line 12 Mental Health |
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c. Communication/Speech |
03 |
Line 13 Speech Disabilities |
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d. Learning Disability |
04 |
Line 1 Learning Disabilities |
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e. Motor |
05 |
Included in Line 17 Other |
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Subtotal (sum lines 01-05) |
06 |
New Line please total as indicated |
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B. Sensory |
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a. Blind |
07 |
Line 6 Legally Blind |
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b. Low Vision |
08 |
Line 7 Other Visual Disability |
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c. Deaf |
09 |
Line 9 Legally Deaf |
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d. Hard of Hearing |
10 |
Line 10 Other acoustical disability |
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Subtotal (sum lines 07-10) |
11 |
Line 8 plus Line 11 |
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C. Mental Health |
12 |
Line 12 Mental health disabilities |
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D. Physical |
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a. Basic Chronic Medical Condition |
13 |
Included in Line 17 Other |
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b. Mobility |
14 |
Line 5 Subtotal (Lines 2+3+4) |
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c. Orthopedic |
15 |
Line 15 Orthopedic disabilities |
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Subtotal (sum lines 13-15) |
16 |
New Line please total as indicated |
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E. Intersystem |
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a. Alcohol/Substance Abuse Recovery |
17 |
Line 16 Alcohol/substance addiction & recovery |
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b. Complex Chronic Medical Condition |
18 |
Included in Line 17 Other |
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c. Traumatic Brain Injury |
19 |
Line 14 Traumatic brain injury |
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Subtotal (sum lines 17-19) |
20 |
New Line please total as indicated |
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F. Temporary Disabilities |
21 |
Included in Line 17 Other |
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GRAND TOTAL (Total of lines 6, 11, 12, 16, 20, 21) |
22 |
New Line please total as indicated |
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UNDUPLICATED TOTAL |
23 |
Line 21 |
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G. Students with Multiple Disabilities |
24 |
Line 19 Multiple Disabilities |
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Count students with multiple disabilities in every category in which they fit. Include students on line 24 if they had two or more of the disabilities in lines 1-5, 7-10, 12, 13-15, 17-19, 21. |
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