Behavior Referrals

Schools can use these Behavior Referral documents to request additional support for RESA Behavior Consultation. RESA does not accept referrals made by parents, however parents are encouraged to call with any questions they may have about behavior consultation and support for our local schools.

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Cover Sheet

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Behavior Referral Form

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Parental Informed Consent

All three documents are required for a RESA behavior referral. Email completed forms to:

Laurie Agosta
Intervention Specialist
810-455-4377
Email


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Partnership Agreement Form
Complete this form with the RESA Interventionist during the initial visit to your building.