You're not alone. Navigating special education can feel overwhelming, but we're here to help. Complete this form to request a free consultation with our team. We'll reach out within 3 business days to learn more about your child and how we can support your family.

Have You Received SESS Services Before?

No, this is my first time

Yes, we received services within the last two years

Yes, we received services prior to 2023

Parent's Full Name *

Phone Number *

Parent's Email *

Street Address *

City *

State *

Country

Postal Code *

Military Status *

How Did You Discover Brighton Center? *

Child's Full Name *

Child's Date of Birth *

Child's Gender

Primary Language *

Child's School District *

Full Name of Your Child's School *

What Are Your Top Three Concerns You Have About Your Child's Education? *

Please Select Your Child's Primary Disabilities (Please Select All That Apply)

Are There Any Additional Disabilities/Eligibilities That We Should Be Aware Of? *

What Do You Hope to Achieve by Consulting with Our Special Education Support Services? *

Can You Legally Make Educational Decisions for the Child? *

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