Advocacy Intake Form

DSAMT provides educational advocacy support to parents of school-aged students. DSAMT's support includes parent consultations, including document/IEP reviews, and is overseen by our Policy & Advocacy Director, Erin Richardson. To request support, please complete the Intake Form below. You will be contacted by a DSAMT staff member within two business days after submission.

Parent Name

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Child's Name

Child's Date of Birth

School District

School Student Attends

Student's Current Grade

Description of Issue/Concern

Does Student currently have an IEP?

YES
Student currently has an IEP
NO
Student currently does not have an IEP

If the Student Has an IEP, Please Attach

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