Assessment Appointment Request
Fill this out to request an Assessment appointment. Our office will contact you to schedule a day and time. Testing times are available Monday-Thursday 9:00-4:00.

**Per The Family Educational Rights and Privacy Act (FERPA), if anyone other than the student is requesting the assessment appointment, you must be on their Consent to Release form and know the key phrase to have any information released.**
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I am the *
Student's First Name *
Student's Last Name *
Student's Date of Birth *
Student's Best Phone Number *
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