Screening Appointment Request
Basic information for the SPS screening department to contact parents/guardians. Please enter the contact information and a screener will be in contact to set up an appointment for a virtual screening.
Email address *
Parent/Guardian first and last name *
Parent/Guardian contact phone number *
Best time of day to contact you *
Child's first name *
Child's last name *
Child's date of birth *
Your child needs a screening for: *
Home address (ex: 123 N. Main St.) *
Must live in Springfield Public School District
City and zip code (ex: Springfield 65810) *
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