Epstein Secrets

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1.0 V/PICTURE • 14/ 15 HI RETENTION 15/ 15 HI BEGINNING SOUNDS 8/ 8 HI MATHEMATICS PURPOSE GIVEN IN ADVANCE 5/ 5 HI ENDING SOUNDS 7/ 8 AV NUMERATION 17/ 21 AV PURPOSE NOT GIVEN IN ADVANCE 10/ 10 HI VISUAL DISCRIMINATION 6/ 6 Av PROBLEM SOLVING 6/ 6 HI ORGANIZATION 14/ 15 NI LETTERS 2/ 2

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aces of Sounds AUDITORY MEMORY Repeats Sound Pattern Repeats Sentence 'Secuences Numerals 'Fathers Oirecticns 'Searences Letters MATHEMATICS NUMERATION 'remits One-to-One ' games Numerals 0-10 ' Matches Sets and Numerals to 10 identifies Ordinal Position FRACTIONS Identities One Half GEOMETRY

an or Clinic Name: (Print or stamp) Address: Expiration Date: (r9 dart after nest humanization appo Physician or Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

S Observes Accurately Makes Comparisons Predcts Outcomes Phrases Significant Questions 2nd 3rd 4th 13.1 13.2 13.3 MATHEMATICS 2nd 3rd 4th NUMERATION 'Matches One•t0One 'Names Numerals 0.10 'Matches Sets and Numerals to 10 14.1 14.2 14.3 'Identifies Ordinal Position 14.4 FRACTIONS 'Ident