This form can be used to help teams identify the steps to support a student at each stage of escalation and deescalation. 

Parents/guardians must be notified within 24 hours of seclusion/restraint. This form will be completed and copied to the individuals below as soon as possible. Best practice is within two (2) school days of use of seclusion/restraint. 

Parent, Local Special Education Director, Home School Principal, Home School Designee, Teacher of Record, Student File