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FAQ
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Evaluation Inquiry
Submit a request for a psychoeducational evaluation.
Who is completing this form?
(Required)
Parent / Guardian
Adult client (self)
School representative
Other
Parent / Guardian Name
First
Last
Contact Number
(Required)
Parent / Guardian Email
Student / Client Name
(Required)
First
Last
Student/client DOB
Service Location
(Required)
Illinois
Florida
Ohio
School Name
What is your primary reason for seeking an evaluation?
(Required)
(Select up to two)
Academic or learning concerns
Attention or executive functioning
Processing speed or academic pacing
Autism-related educational concerns
Emotional or behavioral concerns
Giftedness or advanced learning needs
ACT / SAT or testing accommodations
School eligibility or IEP / 504 questions
Second opinion / Independent Educational Evaluation
Other
Briefly describe your primary concern or what prompted you to seek assistance.
