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    • BACKGROUND INFORMATION FORM

      The following link will take you to the online version of the Background Information Form that is typically used as part of multidisciplinary evaluations. This is a secure and confidential process that can be completed on a variety of devices. DO NOT complete this form if you have not signed, approved, and returned the:

      Prior Written Notice for Initial Evaluation and Request for Consent Form

      In some cases, this form may also be used as part of a child's reevaluation which would often necessitate the need for a signed, approved, and returned:

      Prior Written Notice for Reevaluation and Request for Consent Form 

      If you are uncertain, please inquire prior to proceeding.

       
       
    • PARENTAL INPUT FORM - ABBREVIATED

      The link below will take you to the online version of an abbreviated input form for parents to complete as part of their child's reevaluation. This is a secure and confidential process that can be completed on a variety of devices.  If you are uncertain, please inquire prior to proceeding.