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Academics
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Had a psychological evaluation?
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Been diagnosed with any of the following:
(Please submit formal written diagnosis report at time of enrollment meeting)
LD (Learning Disability)
ADD (Attention Deficit Disorder)
ADHD (Attention Deficit Hyperactive Disorder)
ASD (Autism Spectrum Disorder)
ODD (Oppositional Defiant Disorder)
Other
Does your child take medication associated with this diagnosis?
Not Applicable
Yes
No
Been diagnosed with a medical condition that the school should be aware of?
No
Yes
Received any of the following services:
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Emotional Support
Gifted Support
Remedial Math
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Speech/Language
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