| name | referral-draft |
| description | Draft ONE referral (MTSS, evaluation, counselor, or outside agency) with required fields. Use this atom when intervention-mtss or special-education-support needs a referral template filled with placeholder data. Do NOT use with real student data. |
referral-draft
Creates a referral draft with all required fields (student info, reason, prior interventions, data summary) for MTSS escalation, special education evaluation, or counselor referral. Placeholders only.
Read first — boundaries (security/SECURITY_AND_SAFETY.md §1-2). A referral draft is
decision support, not a submitted referral. It must be validated against the actual
district referral procedure and local and state policy before submission; drafting one here does
not initiate a referral, start any evaluation timeline, or determine eligibility for special
education or any service. Where a request needs a specific student's record, escalate rather
than infer (protocol-layer/assumptions-protocol.md). Never request, infer, or include real
student data — placeholders only.
Input
{
"referral_type": "special_education_evaluation",
"student_name": "[Student Name]",
"grade": "2",
"concern": "Persistent below-grade reading despite Tier 2 intervention for 12 weeks",
"prior_interventions": ["Repeated reading 3x/week for 12 weeks", "Small group phonics instruction"]
}
Output
{
"tool": "referral-draft",
"referral": {
"type": "special_education_evaluation",
"student": "[Student Name]",
"grade": "2",
"date": "[Date]",
"referring_staff": "[Teacher Name]",
"reason": "Persistent below-grade reading despite 12 weeks of Tier 2 intervention",
"prior_interventions": ["Repeated reading 3x/week for 12 weeks", "Small group phonics instruction"],
"data_summary": "[Insert progress monitoring data showing inadequate response to intervention]",
"requested_action": "Evaluation for possible Specific Learning Disability in Reading"
},
"human_review_required": true
Do NOT use this atom for
- Using real student data (all fields use placeholders)
- Replacing parent consent or due process requirements
- Making eligibility determinations
Pipeline note
Follows references/method.md at the Generation step (referral drafting). Output conforms to protocol-layer/metadata-schema.md. human_review_required: true — referral must be completed with actual data and submitted through district procedures.
