Request for Evaluation- Simple 

When should a parent request a special education evaluation for their child?

If your child is facing ongoing challenges in school, it could be a sign of a disability affecting their learning. In such cases, the school might reach out to ask for your consent to evaluate your child. Additionally, according to the Individuals with Disabilities Education Act (IDEA), you have the right to request the school to evaluate your child if you suspect a disability is impacting their education. The evaluation aims to determine if your child has a disability that requires special education services, and this assessment is provided at no cost.

Date

Parent Name
Street Address
City, State, Zip Code Phone Number 

School Psychologist Name

Name of School
Street Address
City, State, Zip Code 

Dear (School Psychologist Name), 

I am writing to request that my son/daughter, (child’s name), be evaluated for special education services. I am worried that (child’s name) is not doing well in school and believe he/she may need special services in order to learn. (Child’s name) is in the ( _ ) grade at (name of school). (Teacher’s name) is his/her teacher. I am worried, because (child’s name) does/does not (give a few direct examples of your child’s problems at school). We have tried the following to help (child’s name): (If you or the school have done anything extra to help your child, briefly state it here). 

I am requesting the following evaluations for my child: 

• Intelligence / Cognition                                                                                                                                                                                                     

• Visual and Auditory 

• Academic Skills and Achievement 

• Functional Skills and Achievement

• Social Emotional Testing

• Occupational Therapy 

  • • -To include measures that look at Sensory and Fine Motor Skills 

• Speech & Language 

  • • - To include measures that look at Communication and Pragmatics 

• An assessment to determine if my child meets the criteria as a student with Autism in an educational context.

• An assessment to determine if my child meets the criteria as a student with ADHD in an educaitonal context. 

I understand that I have to give written permission in order for (child’s name) to be evaluated. If you have any questions I can be reached by email at (email address). 

Please can you provide me three available days and times the Team is able to meet (in the morning or after school)? This will allow me to arrange with my schedule. Thank you for your prompt attention to my request. 

Sincerely, 

Parent’s name 

CC: Principal , Special education teacher, OT Therapist, Speech Therapist, Class Teacher(s), Physical Therapist (if student has gross motor needs)