PLEASE USE STUDENTS LEGAL NAME

You must notify the school office in writing when your student will be picked up by someone other than their scheduled transportation. Notification of the change to transportation must be submitted no later than 12:00pm the day-of, to adequately communicate the change. A photo ID must be shown by the driver picking up, before we can release your student.

Student Health Services

500 Morse Road Columbus, OH 43214

Mobile/Text: 614-598-1429 Fax: 614-468-8851

Authorization for Medication and Treatments

2020-2021

✓ My child will require over-the-counter medication while at OSD.

✓ All medications are to be kept in Student Health Services and are to be administered by Nursing Staff or designated trained staff.

Click Here: Physicians Statement

Mike DeWine, Governor

Paolo DeMaria, Superintendent of Public Instruction

Lou Maynus, Superintendent, Ohio School for the Deaf and Ohio State School for the Blind

July 1, 2020

 

Dear Parents,

Attached please find two brochures pertaining to the Family Educational Rights and Privacy Act (FERPA). These brochures provide general information as well as outlining your rights as a parent under FERPA and ORC 3319.321. We would like to draw your attention to the section regarding “directory information”. After reviewing this information, if you would like to opt-out of OSD/OSSB being able to provide directory information regarding your child, please complete the attached form and return it to the main office of your child’s school or by mail to the Ohio School for the Deaf at 500 Morse Road, Columbus, Ohio 43214 or the Ohio State School for the Blind at 5220 N. High Street, Columbus, Ohio 43214. If we have not received an opt-out form regarding your child by August 31, 2020, it will be assumed that you consent to OSD/OSSB providing directory information regarding your child. Please feel free to contact the principal of your child’s school if you have any further questions.

 

Thank you,

OSD/OSSB

FERPA Pamphlet 1

FERPA Pamphlet 2

 

If you wish to fill out the OHIO SCHOOL FOR THE DEAF/ OHIO STATE SCHOOL FOR THE BLIND FERPA DIRECTORY INFORMATION OPT-OUT FORM. Please right click on the link and select "Open in a new tab" and fill this out.

OHIO SCHOOL FOR THE DEAF/ OHIO STATE SCHOOL FOR THE BLIND FERPA DIRECTORY INFORMATION OPT-OUT FORM

Ohio school districts have the opportunity to receive federal Medicaid dollars through a program called the Ohio Medicaid School Program (MSP). Through this program, school districts can receive Medicaid dollars for services identified in the IEP, such as Speech, Audiology, Physical Therapy, Occupational Therapy, Nursing, Psychology, Counseling, and Social Work services. In the process of billing Medicaid for these services, billing information must be shared with the Ohio Department of Medicaid. For Medicaid billing purposes, schools must obtain a one-time signed Parental Consent to Share Health Information for the Ohio School Medicaid Program. After this one-time written consent, you will receive an annual notice of this consent.

Schools request this consent for all students who receive special education services, even students who may not be currently eligible for Medicaid. Some health information shared is specific to your student, while other information is related to all students within the entire school district. Schools can use this health information to help reduce special education costs that the district must deliver pursuant to the Individuals with Disabilities Education Act (IDEA). This student specific health information is protected and will be accessed only by people authorized to do so by the school’s Medicaid contract.

Your consent is voluntary. You have the right to withdraw your consent at any time (34 CFR Part 99 and Part 300.) You are not required to enroll in Medicaid. If your school does bill Medicaid, you will not be required to incur any out-of-pocket expenses such as a deductible or co-pay, decreased lifetime coverage, increased premiums or the discontinuation of benefits, or result in you paying for services. If a bill or Explanation of Benefits (EOB) is received, you are not required to cover any cost for school-based services.

Regardless of whether you grant consent, refuse consent, or revoke your consent, your child will still be provided with an evaluation and/or the services as identified by the IEP team at no cost to you.

* Signing this consent allows Healthcare Billing Services to submit all claims not older than 365 days from date signed.

Please contact Healthcare Billing Services, Inc. at (740) 639-4218 with questions or if you feel you have incurred a personal cost for these services.

PR-10 PARENTAL CONSENT TO SHARE HEALTH INFORMATION FOR THE OHIO SCHOOL MEDICAID PROGRAM INITIAL VERSION BY ODE: August 1, 2014

Please read this document carefully before signing. Internet access is available to students at Ohio School for the Deaf (OSD).

We are excited to offer this valuable tool, and believe the Internet provides diverse and unique resources to enhance the educational process at OSD. The goal is to facilitate resource sharing, innovation and communication.

The Internet is an electronic highway connecting computers worldwide, allowing access to:

1. E-mail communication with individuals from around the world.

2. Public domain software and graphics of all types for school use (this does not include games).

3. Discussion on a wide range of topics with peers, and experts in their fields.

4. Access to many University Library Catalogs, the Library of Congress and ERIC, a large collection of relevant information to educators and students, as well as, other useful sites.

5. Access to the Internet.

With access to computers and people worldwide, the possibility of tapping into material not considered educational becomes a concern. Ohio School for the Deaf has taken precautions to restrict access to controversial materials. However, on a global network it is impossible to control all information available. Ohio School for the Deaf believes that the educational potential of using the Internet far outweighs the possibility that users may obtain material that is not consistent with the educational goals of the school.

The efficient and responsible operation of a network relies on the proper conduct of the users who must adhere to strict guidelines. These guidelines are provided here so that you are aware of the responsibilities you are about to acquire. In general, this requires efficient, ethical and legal utilization of Internet resources. If an OSD user violates any of these provisions, his or her account may be suspended and/or future access could possibly be denied. Therefore, staff must accept the responsibility of CLOSELY SUPERVISING student access and use of the Internet.

1. Acceptable Use- the purpose of utilizing the Internet as an educational tool is to support research, provide access to unique resources and provide the opportunity for collaborative work.

2. Privileges- the use of the Internet is a privilege, not a right, and inappropriate use may result in a cancellation of those privileges. The system administrators will decide what is inappropriate use and their decision is final. Also, school and system administrators may close an account at any time as required. The administration, faculty, and staff of OSD may request the system administrators to deny, revoke, or suspend specific user accounts.

3. Network Etiquette- you are expected to abide by the generally accepted rules of network etiquette. These include (but are not limited to) the following: a.) Do not be abusive in your messages to others. b.) Use appropriate language. Do not swear, use vulgarities or expletives. c.) Illegal activities, such as accessing pornographic, sexually explicit materials, are strictly forbidden. d.) Do not reveal your personal address, phone number, or those of students or colleagues. e.) Note that electronic mail (e-mail) is not guaranteed to be private. f.) Do not use the Internet in such a way that you would disrupt the use of the network by other users. g.) All communications and information available on the Internet should be assumed to be private property, and protected by copyright laws. Any use of these resources for commercial-for-profit or other unauthorized purposes (advertisements, political lobbying), in any form is strictly forbidden. h.) Do not reveal your User IDs or passwords.

4. Ohio School for the Deaf makes no warranties of any kind, whether expressed or implied, for the service it is providing. OSD will not be responsible for any damages you suffer. i.) This includes loss of data resulting from delays, non-deliveries, or service interruptions caused by its own negligence or your errors or omissions. Use of any information obtained via the Internet is at your own risk. OSD specifically denies any responsibility for the accuracy or quality of information obtained through this service.

h.) No expectation of confidentiality will exist in the use of any and all network connected devices (personal or district owned) on school premises/property.

5. Security- Security on any computer system is important, especially when the system has many users. If you feel you can identify a security problem on the Internet, notify a system administrator. Do not demonstrate the problem to other users. Do not use another individual’s accounts, at any time. Further, any problems that arise from the use of a user’s account are the responsibility of the account holder. Any user attempting to alter system configuration or desktop layout; is identified as a security risk or having a history of problems with other computer systems; or illegally installs copyrighted software on an OSD computer or system, will be denied access to the Internet.

6. Vandalism- vandalism will result in cancellation of privileges. This is defined as any malicious attempt to harm or destroy data of another user, Internet or any of the above listed agencies or other networks that are connected to any of the Internet servers. This includes, but is not limited to, uploading or creating computer viruses.

I understand and will abide by the above Acceptable Use Policy. I further understand that any violation of the regulations above is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked, school disciplinary action may be taken, and/or appropriate legal action.

Mike DeWine, Governor

Paolo DeMaria, Superintendent of Public Instruction

Dr. Lou Maynus, Superintendent of The Ohio School for the Deaf

July 1, 2020

Dear Parents and Guardians,

As the new school year approaches, The Ohio School for the Deaf is making every effort to insure that our students are provided meals throughout the year at no cost to their families. Through the National School Lunch Program (NSLP) our school is reimbursed for the costs of many of those meals. That reimbursement allows the school to fund its food service operation by allowing us to maintain and purchase equipment or other related items that we use to enhance our operation and the meal service to our students.

At the beginning of every school year, we ask that you help us by completing the enclosed forms. These applications are required under guidelines of the NSLP and they are used to determine our funding for the new school year. Please be aware that the information that you will provide will be strictly confidential and only used to determine our school funding. If your family falls outside of the enclosed guidelines and you do not wish to disclose your income or complete the form, please return the form with the registration package, online (when available) and simply write the Students Name, Does Not Qualify and Sign the application.

Included in the packet are forms that you may fill out and allow the sharing of your information for educational purposes. These would be used for educational equipment or fee assistance for your child and provide needed grant information for the school. Your personal information will not be shared for any other purpose.

Every student at The Ohio School for the Deaf receives all meals at no cost to their families regardless of their income. Help us continue to provide great meals to our students by doing your part by completing the enclosed forms.

Sincerely,

William Gallaer

Food Service Manager

This institution is an equal opportunity provider

Click the links below for more information on how to fill out this form:

 

FAQ's

Instructions for applying

 

If you have checked the above box, you may skip to Part 5.

Part 6. SIGNATURE AND LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER (ADULT MUST SIGN)

 

An adult household member must sign the application. If Part 4 is completed, the adult signing the form must also list the last four digits of his or her Social Security Number or mark the “I do not have a Social Security Number” box. (See Privacy Act Statement on the back of this page.)

I certify (promise) that all information on this application is true and that all income is reported. I understand that the school will get Federal funds based on the information I give. I understand that school officials may verify (check) the information. I understand that deliberate misrepresentation of the information may cause my children to lose meal benefits and I may be subject to prosecution under State and Federal statutes.

Part 7. Children’s ethnic and racial identities (optional)

Your children may qualify for free or reduced-price meals if your household income falls at or below the limits on this chart.

Privacy Act Statement: This explains how we will use the information you give us.

The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if you do not, we cannot approve your child for free or reduced price meals. You must include the last four digits of the social security number of the adult household member who signs the application. The last four digits of the social security number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Ohio Works First (OWF) case number or other identifier for your child or when you indicate that the adult household member signing the application does not have a social security number. We will use your information to determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast programs. We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410

fax: (202) 690-7442; or

email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Dear Parent/Guardian:

If your children get free or reduced price school meals, they may also be able to get free or low-cost health insurance through Medicaid or the State of Ohio Healthy Start, Healthy Families Program. Children with health insurance are more likely to get regular health care and are less likely to miss school because of sickness.

Because health insurance is so important to children’s well-being, the law allows us to tell Medicaid and Healthy Start, Healthy Families that your children are eligible for free or reduced price meals, unless you tell us not to. Medicaid and Healthy Start, Healthy Families only use the information to identify children who may be eligible for their programs. Program officials may contact you to offer to enroll your children. Filling out the Free and Reduced Price School Meals Application does not automatically enroll your children in health insurance.

If you do not want us to share your information with Medicaid or Healthy Start, Healthy Families, fill out the form below and send in (Sending in this form will not change whether your children get free or reduced price meals).

For more information, you may call [Bill Gallaer] at [614-468-8841]. Return this form with your registration package or mail to: The Ohio School for the Deaf, Attn: Bill Gallaer, 500 Morse Road, Columbus, Ohio 43214

This institution is an equal opportunity provider

Dear Parent/Guardian:

To save you time and effort, the information you gave on your Free and Reduced Price School Meals Application may be shared with other programs for which your children may qualify. For the following programs, we must have your permission to share your information. Sending in this form will not change whether your children get free or reduced price meals.

School Breakfast Flyer

Healthy Start Flyer