APPLICATION FOR TESTING SERVICES

Students may wish to bring a water bottle to testing.

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Date*

Students Name*

  

Grade*

123456789101112

Age*

Date of Birth*

Name of your home school*

Teacher*

Parent's name*

  

Your Email*

Your Phone*

Address*

United States

I am interested in my child receiving the following:*

Woodcock Johnson III. Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address/email address. $80

Peabody Individual Achievement Test (PIAT-R) Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address. $80

The Wide Range Achievement Test 4 (WRAT) Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address. $65

Instructional and curriculum recommendations consultation based on your child’s strengths & weaknesses as indicated from the End of Grade testing.  Consultation includes test scores report and a 30-minute consultation. $40 per student

Academic Knowledge Woodcock Johnson subtest not included in battery. $10 each student

Learning Disability (Learning Difference) Test $835

Reading grade level $40

Phonemic Awareness mastery/deficits $40

Phonics mastery/deficits $40

Sight word mastery/deficits $40

Fluency mastery/deficits $40

Writing grade level. $40

IQ $120

Please enter preferred date and time.

Appointment choice #1

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Appointment choice #3

Other testing

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