Learning History Form

Below you will find the link to our Learning History Form. This form asks general questions about your child, and his/her educational experience. The information gathered from this form gives us a better idea of each individual’s situation prior to the screening appointment. If you are interested in setting up a screening appointment, please fill out this form.

Feel free to also call us at 812-339-8141, and we will fill out the form over the phone with you prior to your screening appointment.