Reading Clinic Application Form








    Has your child repeated a grade?


    Has your child ever received a psychological evaluation? (i.e. reading disability)

    If the above response is yes, we will ask that you bring a copy of the most up-to-date testing.

    Has your child been diagnosed as having a reading disability?

    If yes, was your child referred for special services such as

    Does your child have an IEP?



    Does your child require you to sit with them to complete their work?

    Does your child read for pleasure?

    Does your child enjoy listening to stories read by others (parents, relatives, siblings, etc.)?




    Do you agree to allow agents of the STAR Center Inc. to administer a reading achievement test to your child to properly determine the strengths and weakness of your child’s reading skills?