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Please Fill Out This Form For Your Onboarding Call

Parent/Guardian First Name *

Parent/Guardian Last Name *

Child's First Name *

Child's Last Name *

Phone *

Email *

Phone Number Where We Can Best Reach You? *

What School Does Your Child Attend?

In which School District Is Your Child Enrolled? (If not in public school, please answer "none" *

Is Your Child's School A Charter School?

Yes

What grade is your child in?

What Is Your Child's Diagnosis/Diagnoses?

Does Your Child Currently Have An Individualized Education Plan (IEP)?

Yes

What Type(s) Of Solutions Are You Seeking

I would like the district to make up for service minutes that they failed to provide

I would like my child to be placed in a less restrictive learning environment

TI would like a new IEP and/or BIP written ype an Option

Give Us A Brief History Of The Problem, Including How Long It Has Been Going On

Any other documentation that you wish to add

What Else Would You Like Us To Know About Your Child And Your Situation

How Did You Hear About IEP Defenders/Lex Tecnica?

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