Sett
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An Assistive Technology Device is any item, piece of equipment, or product system that is used to increase, maintain, or improve the functional capabilities of a child with a disability. An Assistive Technology Service is any service that directly assists
a child with a disability in the selection, acquisition, or use of an assistive technology device. IDEA, 2004 P.L. 108-446, Section 602
Student:
Grade/Age:
School Building:
Contact/Case Manager:
District
E-Mail:
Date:
Written Expression
Y N
Spelling
Y N
Reading
Y N
Math
Y N
Study/Organizational Skills
Y N
Listening
Y N
Communication
Y N
Seating/Positioning
Y N
Y N
Y N
Vision
Y N
Mobility
Y N
Environmental Control
Y N
Hearing
Y N
Pre-Vocational/Vocational
Y N
Other Specify:
STUDENT:
ENVIRONMENT:
TASKS:
TOOLS:
Currently Used:
Instructional Area:________________________
Currently Used:
Instructional Area:________________________
Instructional Area:________________________
Currently Used:
New or Additional AT:
_Visual Schedules
_ Portable, adapted timekeepers
_ Electronic reminders
_ Digital planners
_ Web-based planning tools
MATERIAL MANAGEMENT
_ Low-tech organizers
_ Checklists
_Container System
_ Coding System
_ Electronic filing and storage
_Portable electronic storage
_Computer-based tools
_ Tactile measuring devices
_ Abacus
_ Talking calculator
_ Models or 2D and 3D geometric shapes
_ Tiger embossed, PIAF Tactile representation
RECREATION AND LEISURE
_Typical toys/puzzles/balls/utensils/etc adapted
_Flexible rules
_ Specially designed utensils/equipment
_ Electronically/mechanically adapted utensils/
equip.
_ Electronic aids remote controls, timers, etc.
_ Computer-facilitated/based activities
_ Online/Virtual recreational experience
VISION COMPUTER ACCESS
_Color scheme
_Large operating system features
_ Built-in magnification
_ Fully-featured magnification
_Screen reader
_ Screen reader with Braille device
VISION READING
_ Glasses
_ Color Filter
_ Slant-board
_ Large print
_ Optical Magnifier
_ Electronic Magnifier
_ CCTV
_ Monocular
_ CCTV with distance camera
_ Audio text
_ Computer-based reading software
_ Electronic Braille note-taker
VISION -MATHEMATICS
_ Large print measuring tools
_ Large key calculator
_ Tactile measuring
VISION WRITING
Writi
Hig
Po
Ty
Br
Ty
Ele
Vo