Please complete this form to the best of your ability if you are interested in having your child considered for a developmental screening to determine they have a suspected delay or disability which would warrant a special education evaluation. Upon providing your contact information, a staff member from Hand-in-Hand will be in touch with you via phone or email within a few days. If you have any questions before then, you are welcome to call our main office at 360-279-5928.

IMPORTANT SUMMER NOTICE: Forms submitted between June 12 and August 10 may not receive a response until August. We appreciate your patience and will contact you as soon as possible when staff return.