Dyslexia Specialist Tutor RequestPlease submit the inquiry below for a FREE 20 min. phone consultation. Parent Name * First Name Last Name Email * Phone * (###) ### #### Referred By: * Child's Name: * Current School: * DOB: * MM DD YYYY Current Grade: * Who & when was your child evaluated by? * Please list any and all diagnoses from the evaluation(s): * We provide individualized Orton-Gillingham based instruction for children with dyslexia in K-4th grade. Please confirm you are looking for this particular specialized tutoring service? Yes No We require a minimum of 120 minutes a week for tutoring broken up into at least two sessions. Please confirm you can make this time commitment. * Yes No Our tutoring sessions are held during the school day where we travel to the child's school. We are not able to go into public schools. Have you confirmed that your school will allow school visits for OG? * Yes No Are you currently seeing any other tutors? If so, when and for what purpose? * Has your child received Orton-Gillingham instruction previously? Explain. * List 3 days/times you are available for a free 20 minute phone consultation. * Thank you! We will contact you within the next 48 hours.
