Evaluation Request Form

Some information about this form and what will happen next:

Use this form to schedule an evaluation with me. You can expect to receive a reply within 48 hours. I will meet with you at my home or online.

If you have questions, but you are not ready to schedule an evaluation, please send me a note by clicking here.

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In order to schedule an evaluation appointment for your student, I kindly request that you provide three potential dates and times that would work best for your family. Please understand that my calendar tends to fill up quickly, so while I will make every effort to accommodate one of your preferred options, I may need to suggest alternative dates and times if those you initially provide are unavailable.


Please provide any information you think would be helpful for me to know, such as a co-op you attend, your curriculum or learning styles, recent move here from another state or country, whether your children have been or will be in a public, private, or charter school, who referred you to me, your most recent evaluator and why you are switching evaluators, etc. in the Background Information space below.
Include your preferred appointment times for each date option selected.

The information you submit will not be shared with anyone, including school district employees.