Before we can set your child up for tutoring you will need to fill out this form. Please answer each question below.
Child's Date of Birth:
Has your child been tested for dyslexia?
Yes, and has been officially diagnosed with dyslexia.
Yes, and did not get diagnosed with dyslexia. However, I think my child has dyslexia.
No, but I think my child has dyslexia.
How did you hear about Therapy 4 Kids?
School or pre-school
Another professional (counselor, music teacher, service coordinator etc...)
Sign on building
Social Media (Facebook, Instagram etc...)
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