If you are making a referral please
contact Dawna Sigurdson, the CRASDT Coordinator, to facilitate planning. Please include the following in your referral. Print and
follow the guidelines to ensure your referral is
complete and ready for scheduling.
Referral Letter: This document explains the process and outlines the forms needed to complete a referral to the Central Region ASD Team.
Referral Form TA 2010: This is the referral form.
Strengths-Challenges 2010: This is information we
would like the school staff to complete on a child they are referring.
Parent/Guardian Questionnaire: The Central ASD Team appreciates
parent input and we ask that this form be completed as part of the referral process.
Send referrals to:
Dawna Sigurdson
Coordinator Central Region ASD Team
PO Box 850
Kearney, NE 68847
fax: 308.237.5920
Email: dsigurds@esu10.org