If you would like to request copies of your student’s records related to special services, please fill out the form linked below and return to Erica Nichols, North Hunterdon-Voorhees Regional High School District, 1445 State Route 31, Annandale, NJ 08801. (Note: this form is only for records related to special services records. For all other records, please contact the high school’s Counseling Office.)
Click here for printable Request for Special Services Student Records
REQUEST FOR COPIES OF SPECIAL SERVICES RECORDS
Adult Student’s Full Name:____________________________________________________________
Last First Middle
Current Address: __________________________________________________
Telephone Number: ______________________________________________
Area Code Telephone Number
Date of Birth: ______________________________________________
Month Day Year
Year of Graduation: _____________________
Month Year
RECORDS REQUESTED:
__ IEP __Psychiatric Eval __ OT __ Speech
__ Eligibility __ Social Eval __ PT __ Other ________
__ Educational Eval __ Psychological
___________________________________________________________________________________________
Signature – Adult Student or Legal Guardian Date
Please forward all requests to:
North Hunterdon-Voorhees Regional High School District Office
Attn: Erica Nichols
1445 State Route 31
Annandale, NJ 08801
