Students who have one or more disabilities that are life long including a significant cognitive disability that interferes with independent functioning and learning that it is difficult to determine which the primary disability is maybe considered as multiple disabled. An educational education will include assessment of cognitive ability and functioning, academic achievement, functional skills, social and developmental history, observations, medical information and any other assessments necessary to determine eligibility or services. Programming may include remediation in the areas of significant delays such as functional academics, communication, self help skills, daily living skills, socialization, and motor skills. Students may also focus on pre-vocational skills and recreation and leisure activities in the school environment or in the community. Related services may include health services, occupational therapy and/or physical therapy. Services may be provided in general education, a resource room or self contained classroom determined by the student’s individual IEP goals.