Taylorview Junior High School

350 Castlerock Lane    Idaho Falls, ID  83404

(208) 524-7850

Fax (208) 524-7851

 

Brad Hadley, Counselor               Sherry Clements, Registrar    Karen Peck, Counselor                

 

 

REQUEST FOR EDUCATIONAL, MEDICAL, PSYCHOLOGICAL RECORDS

 

 

 

LAST SCHOOL ATTENDED                                                                          Fax#:_____________

 

_______________________________________________________________________________________

ADDRESS                                                            CITY                                                       STATE    ZIP

 

PLEASE MAIL THE FOLLOWING:

 

·         WITHDRAWAL GRADES

·         TRANSCRIPT GRADES

·         HEALTH RECORDS

·         STANDARDIZED TEST

·         BEHAVIOR FILE

·         ATTENDANCE  

·         SPECIAL EDUCATION (I.E.P.) / GIFTED AND TALENTED PROGRAM

 

Ř  WE DO NOT WANT THE ENTIRE CUMULATIVE FOLDER – Thank you

                                   

 

 

 


STUDENT’S NAME                                                                                            BIRTHDATE                 GRADE       

 

Mail records to:

 

TAYLORVIEW JUNIOR HIGH SCHOOL

350 Castlerock Lane

Idaho Falls, ID  83404

 

I am aware that psychological and/or social information is confidential and will not be shared elsewhere without my written permission. 

 

 


Signature: Parent/Guardian                                                                        Relationship

 

*Federal Law 99.31 specifies that no parental signature is required for educational records, (transcript of subjects, grades, credits, health records, behavioral records, and standardized test scores) to be released to another educational agency.