IEP School Summary — KindlyPass

👶 Basic Info

Child's Name

Grade

School Name

Teacher Name

Diagnosis (optional)

🗣️ Communication

🗣️ Verbal

🤫 Non-Verbal

📱 Uses AAC

💬 Limited Speech

How they indicate they need a break

How they show pain or discomfort

How they show happiness or excitement

📚 Learning Needs

🏃 Movement Breaks

⏰ Extended Time

🔇 Quiet Workspace

🔁 Repeated Instructions

👁️ Visual Aids

🧑‍🏫 One-on-One Support

🌀 Sensory Breaks

📝 Written Instructions

✏️ Modified Curriculum

💻 Assistive Technology

Assistive technology details (if applicable)

🎓 Academic Levels

Reading Level

Math Level

💊 Therapies Received

🗣️ Speech Therapy

✋ Occupational Therapy

🧠 ABA Behavioral Therapy

🏋️ Physical Therapy

👁️ Vision Therapy

🚨 Safety Alerts

🏃 Elopement Risk

⚡ Seizure History

🩸 Diabetes / Blood Sugar

💨 Asthma / Inhaler Needed

🍼 Feeding Tube / G-Tube

Medications taken at school

Medical equipment used

Allergic reaction protocol

Physical intervention — allowed?

🧠 Behavioral Profile

What a meltdown looks like for this child

De-escalation techniques that work

Things that make it worse

Preferred reward system

Safe space / calm-down corner location

Who to call first when behavior escalates

🌟 Sensory & Environment

Sensitivities / Triggers

🔊 Loud Noises

🔄 Sudden Changes

👥 Crowded Spaces

💡 Bright Lights

⏱️ Time Pressure

Classroom Preferences

🏫 Prefers Front of Class

🚪 Prefers Near Door

🪟 Away from Windows

📋 Needs Visual Schedule Posted

Tools / Supports Used

🦺 Weighted Blanket / Vest

🎧 Noise-Canceling Headphones

🪀 Fidget Tools

✨ What Helps

⚠️ Advance Warning of Changes

🌟 Praise & Encouragement

📋 Clear Routines

🪀 Fidget Tools

🎧 Headphones

🪑 Preferred Seating

🧼 Personal Care

🚽 Needs Bathroom Assistance

🍽️ Needs Feeding Assistance

👕 Needs Changing Assistance

Specific hygiene routines

🚻 Toileting

✅ Independent

🔔 Needs Reminders

🤝 Needs Full Assistance

⏰ Timed Bathroom Breaks

💛 Social & Emotional

🤝 Works Well with Peers

📐 Needs Structured Social Time

🙋 Prefers Solo Work

🚫 Avoid Large Groups

Known triggers from home

Signs of a good day

Signs of a struggling day

Peer notes

🚌 Transportation

🚌 School Bus

🚐 Special Van Transport

👁️ Supervised Loading & Unloading

🔒 Safety Harness Required

👨‍👩‍👧 Parent Drop Off / Pick Up Only

🚶 Walking Distance

Special transportation notes

📞 Emergency Contacts

Primary contact — name & phone

Secondary contact — name & phone

Who is NOT allowed to pick up this child

💌 Personal Note to Teacher

Anything else you'd like the teacher to know

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IEP & School Summary Sheet 🏫