Brighton Family Story Form

Child First Name *

Child Last Name *

Child Date of Birth *

Parent / Guardian First Name *

Parent / Guardian Last Name *

Parent / Guardian Date of birth *

Phone *

Email *

What Brighton programs has your child used? *

ECI Services

Preschool

Pediatric Therapy Clinic

Special Education Support Services

Tell us about when you first learned you were expecting your child? What was this time like in your life? Describe what emotions you felt.

Describe how you first learned about your child’s disability. Who told you?· How old was your child? How was his situation explained to you? Describe the emotions you felt. What did you do?

How and when did you first learn about Brighton Center? What were the services you received? How did these services help you and your child? What emotions did you feel because you had Brighton’s support?

Describe the first part of your child’s life when you were trying to understand and work through their diagnosis? Was there anything they couldn’t do like other children their age? What services did they receive to help them? Were there any scary moments you experienced?

How would you describe Brighton’s help to a new parent going through the same journey you have been on?

What is your favorite thing to do with your child?

What is your child’s favorite part of learning with Brighton?

Do you have a photo of your family or child that you would like to share? Please upload here:

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