New Client Paperwork

Occupational therapists are able to provide objective, standardized assessments to determine the characteristics that most align with dyslexia for children ages 5.5-17.  Upon analysis of the assessment batteries you will receive a written report that will indicate each assessment battery results to include standardized scores, percentile ranks, age and grade level specific to the area assessed.  We suggest you provide your primary care physician a copy of the report for their determination of diagnosis.

After completing the intake form, you will need to bring the below forms with you to the assessment.

For Parent:

Items to email: or fax: 1-888-857-0023 to schedule your child’s evaluation:


To help us better understand your child’s unique reading strengths and struggles please complete the Nessy’s Dyslexia Quest.  You may email the results directly to us: