Assessment and Evaluation Interest Form
We are excited to see if we are able to provide an assessment or evaluation for you!
We have a few quick questions and then we will reach out and connect with you (you can expect a contact back within a week of submitting this form).

Just a reminder - We are currently scheduled 3-4 months from now. If you are interested in referrals or to be on our wait list, please feel free to fill out the form.
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Phone number
You have a choice when it comes to how we communicate. Conventional Email (Gmail, Yahoo, Comcast etc) is inherently insecure. Additionally if you use a work email to communicate your boss or IT department may be able to read or know information you may not want them to know. Know that we at Dr. Sanderson and Associates only use secure communication through Luxsci that covers my G-Suite program. When I email you it will be encrypted. But it may not be when you email me directly from your email program. If you wish to not leave your email, we will contact you by phone.
One of the two options below must be selected for me to follow up and communicate with you: *
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