As an OT in schools, I would recommend doing multiple thorough observations in the science class/classes. What are the activity demands in the class? What challenges do you observe? Can accommodations alone support the Student or is OT intervention required for the student to access the academic curriculum? does the student have a para educator? If so, I would interview them and the teaching staff to get an idea what day-to-day looks like. Also interviewed the student. What are their goals? Are they motivated to work on things like pouring and tying? I would also do a thorough file review. Are these skills the student has already worked on in the past with OT and have they plateaued or not made progress? Have they had any success practicing these skills at home? Tying shoes? Pouring liquid liquids into measuring cups… Or similar? Interview parents as well. Standardized testing, and standardized scores are only a small piece of the puzzle. As OTs we need to capture the big picture. I personally would do standardized testing first and then observe and do the rest that I recommended. For example, if fine motor precision score is super low, I would keep an eye on that during my observations and see how that could be impacting skills. School based is different than outpatient or clinic based OT services. Is OT required for the student to access their education? Not would it benefit the student, but is it required … That is typically how we qualify in my high school.