Please feel free to connect with us via this form: Please enable JavaScript in your browser to complete this form.Your Name (Parent or Guardian) *FirstLastYour Email Address *Your phone numberBest way to reach you: *EmailPhone 9 am – 5 pmPhone 5 pm – 7 pmTextYour Child's Name *FirstLastYour child's age *Select one5678910111213141516171819202122Your Child's Grade in School *County in which you reside *Select your countyAtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarrenSchool District where your child attends school * Name reach diagnosis(es) Name of your child's School *Your child's diagnosis(es)This information will be kept strictly confidential, but you are not required to provide this at this time.Does your child have an IEP? *YesNoDo not send a document to us yet. We simply need to know if your child already has an IEP.Description of the problem you are having with your child's school *Be as concise as you can be, for example “not following IEP” or “school refusing evaluation” or “disagree with placement”Submit We will contact you via your preferred method within 48 hours.