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  • To be eligible for services from Specialised Support Services students must be a registered client of Autism SA.

  • General Details

  • MM slash DD slash YYYY
  • School Address

  • Verification

  • Priority for Support

  • Rationale for support by Autism SA:

    A modified version of the evidence based Aspy and Grossman Ziggurat Model for Intervention (Autism Asperger Publishing Company, 2008), is employed to address students' underlying sensory/biological needs, reinforcement needs and visual/tactile support needs and promote successful inclusion.

    Please complete the checklist and include examples of what is already in place in the classroom/school.

  • By submitting this Request for Service, I am confirming acceptance of the following on behalf of the school and Principal:
  • MM slash DD slash YYYY