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Parent/Guardian Intake Form

TSFA Voucher Payments: Spenceton Educational Evaluation Services is an approved TSFA vendor. Parents must submit payment requests via TSFA account portal. After TSFA approves your payment, please return here to book your appointment to begin testing. 

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****Select "Special Education Testing #001" in your TSFA account.*****

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**Next: Complete this form, then a consultation will be completed with us to understand your testing needs. Last, you will bring your child in for testing. There is one flat fee for testing.

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Parent/Guardian Information

Preferred Language
English
Spanish
Other

Student Information

Student Date of Birth
Month
Day
Year
Current Grade
School Type
Public
Charter
Private
Homeschool
Other

Consultation Details

Consultation Format
Virtual- child must be present
In-Office- child must be present
Best Days for Consultation

Reason for Testing

Additional Information

Has the student had previous evaluations?
Yes
No
Testing Required: Special Education Testing #001

Please upload relevant documents (PDF, Word, or Images).

Consent & Acknowledgment

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