Services / ESY Services
Last Name First Name Meeting Date

 
Teacher* Teacher*
 
  If the teacher is not listed in the pop-up, try entering the name or teacher code here:
You can also select by teacher assignment.
 
Provider type Provider type
  (*infants/mental health svcs.)
 

 
Individual/Group
 
School* School*
 
  If the school is not listed in the pop-up, try entering the school name or code here:
 
Location type* Location type*
 

 
Service* Service*
Session note Session note
Auxiliary service location Auxiliary service location
Primary service Primary service
Extended school year Extended school year
Service reporting status
Consult Consult
Start date* Start date*
End (evaluation) date End (evaluation) date
Frequency code Frequency code
  (*infants/mental health svcs.)
 
Duration, minutes per session Duration, minutes per session
  (*infants/mental health svcs.)
 
Duration (other description) Duration (other description)
Sessions per week Sessions per week
Frequency (other) Frequency (other)
 

 
LEA district LEA district
 

 
Drop date Drop date
Primary drop reason Primary drop reason
Non-primary drop code-reason Non-primary drop code-reason
  (non-primary service only)
 
For information only:
Drop date
Primary drop reason - Non-primary drop reason -
 

*Required items