Information regarding the completion of the ACCESS Community School Referral Form
This referral form is to be completed by a school district administrator/designee. Please fill out this form completely.
For students with an individualized education plan (IEP) the school district must complete the ACCESS Special Education Referral Process
PRIOR to submission of this referral form. To initiate the ACCESS Special Education Referral Process, please contact at
accessspedrecords@ocde.us or call (714) 547-7931. The ACCESS Community School referral form is not considered complete until the ACCESS Special Education Referral Process has been completed for a student with an IEP.
Completion of this referral form does not guarantee enrollment in ACCESS. Enrollment is subject to space and program availability. Once the completed referral form has been reviewed and approved by ACCESS, both the school district and the parent/guardian/caregiver/adult student will be notified by ACCESS. To learn more about our programs, see
ACCESS Programs.
REFERRING DISTRICT REFERRAL
For Referring Districts: All supporting documents required to be submitted with this referral form must be uploaded to the ACCESS Referral secure file portal, which includes:
- Immunization Record
- Attendance Certificate
- Current Transcripts (secondary students)
- Withdrawal Grades
After the referral form has been submitted, a copy of the form will be sent electronically to both the parent/guardian/caregiver/adult student and the school district representative for electronic signature via DocuSign. Upon receipt of all signatures, the referral form will be reviewed by OCDE.
For any questions about the referral process, please reach out to us at
OCDEreferrals@ocde.us.
Please note:
Electronic signatures are required. The ACCESS Community School Referral form will not be reviewed until all required signatures have been electronically submitted.
SOCIAL WELFARE/PROBATION REFERRAL
For Social Workers, Probation, and other Social Service Providers referring a student: Please print the Social Welfare/Probation Referral Form.
This referral form is to be completed by a Social Worker or Probation Officer. Please complete the form with as much information as possible. Parent signatures are not required but are encouraged.
Once you have completed the referral form, please submit it to
OCDEreferrals@ocde.us.
After the referral form has been submitted, upon receipt of the form, it will be reviewed by OCDE and transferred to the program that best meets the needs of the student.
Questions, please contact
Phone: (714) 245-6559
