MTSS Referral Form

Developed by
May 13, 2025

Looking for a practical way to support students’ social-emotional-behavioral (SEB) needs? An MTSS referral form can streamline your entire process—from identifying concerns to implementing targeted interventions—so every learner gets the help they need at the right time.

  1. Structured Approach: Collect essential data, document concerns, and clearly outline next steps for SEB intervention.
  2. Efficient Collaboration: Foster teamwork among teachers, counselors, and administrators, ensuring everyone’s on the same page.
  3. Consistent Data Tracking: Use a standard referral template to monitor progress, revise interventions, and maintain accountability.
  4. Improved Student Outcomes: Provide timely, evidence-based support that addresses both academic and behavioral challenges.

Want a simple, proactive way to build effective behavior plans? Don’t miss our easy-to-use Behavior Intervention Plan Template. It guides you through essential steps—like identifying triggers, teaching new skills, and preventing behaviors before they escalate—so your interventions truly make a difference.

mtss referral form thumbnail

Download Resource(s)

More from Behavior Advantage

Social Behavior Mapping Template

Social Behavior Mapping Template

Help students connect actions, emotions, and outcomes with this ready-to-use Social Behavior Mapping Template. Build reflection into every lesson.…
Functional Behavior Assessment with Behavior Intervention Plan Report

Functional Behavior Assessment with Behavior Intervention Plan Report

The following Functional Behavior Assessment with Behavior Intervention Plan report is provided as an illustrative example. The strategies listed…
20 Creative Conversation Starters for Parent Input

20 Creative Conversation Starters for Parent Input Template

Spark meaningful parent feedback with 20 ready-to-use prompts that turn “input” into insight—and build stronger, more personal IEPs. Start…

IEP Progress Monitoring Goal Tracker

Cut the chaos from progress reporting and log student data in minutes—not hours—with this goal tracker built for educators.…