Intake Information
Please answer all question to the best of your ability. The information will be used to identify which of our services best fits your needs.
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Email *
Parents Name *
What City and state does your child attend school *
Phone number *
Students Name *
Please select which disability your child has or you suspect him/her of having. Check as many that apply *
Is your child currently receiving special education services? *
Is your child currently getting services under a Section 504 ? *
Which statement below best describes your current issues: *
What happened to make you want to hire an Special Education Advocate
What steps have you taking to get your concerns resolved by the IEP team or school personnel? What was the outcome of those efforts? *
List the outcomes you want from advocacy services? (ex. I want additional evaluations.) *
A copy of your responses will be emailed to the address you provided.
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