Educational Services / Tutoring

ICCD provides direct educational services to a number of children with complex learning needs and also trains and supervises special educators through our Center. Services include direct tutorials in individual and group formats; program evaluation and consultation; and parent and community education.

Clinicians

Kathleen Burek, M.Ed.Director Educational Services Request an Appointment

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Educational Services

Parent or Legal Guardian Information

Parent's First Name

Parent's Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Mobile

Best time to call

Fax

Child's Information

Child's First Name

Child's Last Name

Date of Birth

Grade

Age

School

Gender

Brief description of presenting concerns

Does your child have an existing diagnosis

Does your child have any allergies or health issues?

Pediatrician

Pediatritian's Phone

Do you have insurance?

Yes

No, self pay

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Upload insurance card - Back (if applicable)

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or input your insurance information

Primary Health Insurance

Policy Number

ICCD Office

Clinician or Doctor of preference

Please indicate which services you may be interested in by checking off a box or boxes below.

Neuropsychological Assessment

Medical Services

Assistive Technology

Infant/Toddler Evaluation

Educational Services

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