Students who have severe physical impairments that interfere with learning may have an orthopedic impairment. Physical impairments may be caused by congenital anomalies, diseases or cerebral palsy, amputations or fractures/burns that cause shortened muscles or joints. An educational evaluation will include assessment of academic achievement, functional skills, social and developmental history, medical information and any other assessments necessary to determine eligibility or services. Programming may include accommodations, modifications, physical support and academic remediation. Occupational therapy and/or physical therapy may be need to support physical needs through direct therapy, daily stretching, and specialized equipment to compensate for fine motor weaknesses. Consultation services will be provided through an itinerant licensed orthopedic impaired teacher. Direct services may be provided in the resource room for academic remediation. The orthopedic impaired teacher and therapists will work closely with teaching staff to educate and provide services as deemed appropriate in the IEP.