Jill Claridge, Ph.D.
Educational Diagnostician & Consultant

Helpful Forms

If you're a parent, please complete the following forms and return via fax or e-mail along with any other documents you would like reviewed, at least one (1) day prior to testing: 


If you are eighteen (18) or older, please complete the following forms and return via fax or e-mail along with any other documents you would like reviewed, at least one (1) day prior to testing:

 
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please authorize me to do so on the above forms:

  • Please be sure to add that information to the Release (provided with the above forms). Please be sure to include either a fax number or email address for the recipient.

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