IEP Consultation Intake Form


Please read the below information before entering anything into the form. Please fill out this form during your consultation call, or within 24 hours of the call ending.

Use Existing Email Address For Parents

You MUST use the same “Parent’s Email Address” you received from Luke. This is the only way to ensure the information will connect to the correct record in our system.

Use This Form Only Once Per Student

You can only enter information in these fields 1 time. If the form is submitted a 2nd time, the previous information entered will be overwritten and lost.

Information Entered COULD Be Sent Directly To Parents

The information entered has the potential to be sent directly to parents, please make sure everything is filled out accurately and as completely as possible.

Do You Have Questions?

If you have ANY questions, please contact Luke for clarification BEFORE submitting the form.

Thank You!

YOU ARE AMAZING! Thank you so much for everything you do to help these amazing children!

Purpose of this form

IEP Consultation Intake Form

Filled out by the expert after an IEP consultation.

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Think Differently About Education.

We Believe…

All children are born with the innate ability to reach their OWN excellence.

That a growing group of children don’t fully prosper in overpopulated classrooms.

Through technology and one on one learning, their future path to success can be made clear again.