You can request an appointment for our comprehensive, interdisciplinary assessment by completing our online Contact Form.
In order to process your request as quickly as possible we ask that you please note the following procedures:
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You will receive an automated response from The Yellin Center for Student Success to confirm receipt of your Contact Form.*
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Our staff will review your application information to determine if our services are a match for your student’s situation and referral concerns. We may contact you to discuss additional questions or to clarify your responses.
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You will be contacted via phone, email or regular mail regarding your Contact Form submission. If you have a preferred means of contact please notify us via the Contact Form. |
The information collected on the following pages is confidential and necessary in order for us to determine whether our services will meet the needs of your child. It will take several minutes to complete.
We will ask you questions about the following topics:
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Specific concerns about your child's learning |
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Your estimate of his/her academic skill levels |
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Previous assessment findings |
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Current services and supports |
You may need to review school reports or prior assessments to complete some of the questions we ask.
Click here to begin completing our online Contact Form
Click here to check the status of a submitted Contact Form
If you are unable to complete our online Contact Form, you may also print a Contact Form that can then be mailed or faxed to The Yellin Center for Student Success.
Click here to print a PDF version of the Contact Form
Click here to download Acrobat Reader
* Please be sure to add the mail domain name “@yellincenter.com” to your email safe list to ensure your receipt of important emails concerning your contact form submission.
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