[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-176592-105":53,"doc-detail-176592-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","dyslexia-intake-form-new","Dyslexia Intake Form - New","","Dyslexia Services intake packet for parents/guardians includes an authorization request process, written evaluation requirements, and baseline assessment scheduling details. It explains that services require a written dyslexia diagnosis from an approved school or private psychoeducational evaluator and restricts concurrent services from other providers. The case history form collects identifying information, family history of reading/spelling difficulties, medical and consent requirements, language needs, emergency contact data, and educational background to support placement decisions and remediation planning at Turn Center.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/dyslexia-intake-form-new/176592/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/dyslexia-intake-form-new/176592.png","ImageObject",442,249,{"name":88,"@type":89},"Oliver Hayes","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-27","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What documents are required before a child can be added to the waiting list?","Question",{"text":108,"@type":109},"Medical history forms, consent forms, dyslexia intake forms, and a written report with a dyslexia diagnosis plus treatment recommendations are required.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Can dyslexia services be provided if the child is already receiving services elsewhere?",{"text":113,"@type":109},"No. Turn Center will not provide services to children who are currently receiving dyslexia services with another school, facility, tutor, practitioner, or therapist.",{"name":115,"@type":106,"acceptedAnswer":116},"How are baseline assessments scheduled and what attendance is expected?",{"text":117,"@type":109},"After paperwork is confirmed complete, Turn Center calls to schedule curriculum baseline assessments. Remediation sessions are scheduled four times per week for one-hour sessions, and attendance for all four sessions is required.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},176592,1790453961,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},687207020761,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Kris Smith, Director of Dyslexia Services\nDear Parent/Guardian,\nThank you for contacting us regarding dyslexia services for your child.  Due to the demand for dyslexia services in our area, we are currently managing a list for these services and are revising our intake process in order to better serve the community. The first step is to completely fill out the attached paperwork to the best of your ability and return to our facility along with a written evaluation report stating the child’s diagnosis of dyslexia.\nWritten Evaluation Requirement: I understand that my child cannot receive dyslexia services unless there is a written evaluation report with a diagnosis of dyslexia from the school or private psychoeducational evaluator with the credentials to evaluate and diagnose dyslexia.\nTC will not provide services to children who are currently receiving dyslexia services with any other school, facility, or private tutor, practitioner or therapist.  If your child is receiving dyslexia services anywhere else, please discuss with your dyslexia specialist.\nOnce the paperwork is received and determined to be complete, you will be placed on a list for services.  As new classes form, we will call you to schedule curriculum baseline assessments.  Please be sure to contact us if any information has changed.  If we are unable to reach you, your child will be removed from the waiting list and will not receive and curriculum baseline assessment from Turn Center.  In the event that you are seeking services for multiple disciplines, you will be scheduled separate evaluations at different times.\nBaseline assessments typically take one hour and once the assessment is complete, our dyslexia specialists will determine if your child will benefit from dyslexia services at the Turn Center.  We will contact you as soon as possible following the assessment to determine scheduling.  Due to the nature and intensity of dyslexia remediation services, sessions are scheduled four times per week for one hour sessions. Attendance for each of the four sessions per week is required and is considered critical to a child’s progress in the program.  Therefore, choosing to participate in Turn Center’s Dyslexia Services is an important commitment for our dyslexia services staff, parents and students. Our first session begins promptly at 4 p.m. and the last session begins promptly 6:30 p.m.  Earlier sessions are available. There is no guarantee as to availability of any specific appointment time. Sessions will consistent of 3-4 students per dyslexia specialist.\nThe following paperwork must be received before your child can be added to our waiting list:\nMedical History Forms\nConsent Forms\nDyslexia Intake Forms\nWritten report with dyslexia diagnosis along with recommendations for treatment\nPlease feel free to contact us at any time if you have any questions.  We look forward to meeting you and your child soon at the time of their baseline assessment.\nDYSLEXIA CASE HISTORY FORM\nDear Parent/Guardian:\nPlease complete the following Case History Form and return it to Turn Center prior to your child’s initial dyslexia curriculum baseline assessment.  Thank you.\nDate: ___________________\nName of person completing Case History Form: _____________________________________________\nRelationship to child: ___________________________________________________________________\nLanguage(s) spoken in the home: _________________________________________________________\nLanguage:\t\t\t\tServices Requested: _____Dyslexia Services\n___English\t\t\t\t\t                       \t\u000b___Interpreter needed\nIDENTIFYING INFORMATION/FAMILY HISTORY:\nChild’s Name: Last: _________________________ First: ___________________________ MI: ________\nDate of Birth: _____________________________ Age: ___________  Sex: ____Male ____Female\nStreet Address: ________________________________________________________________________\nCity: ___________________________________________ State: ____________ Zip: ________________\nPrimary Di","cbCaipj55ru5NWjC","https://ap.wps.com/l/cbCaipj55ru5NWjC","docx",63282,23,"English","# Intake Requirements\n## Written Evaluation and Service Eligibility\n## Waiting List, Scheduling, and Attendance\n# Dyslexia Case History Form\n## Identifying Information and Family History\n## Educational Information and Contacts","[{\"question\":\"What documents are required before a child can be added to the waiting list?\",\"answer\":\"Medical history forms, consent forms, dyslexia intake forms, and a written report with a dyslexia diagnosis plus treatment recommendations are required.\"},{\"question\":\"Can dyslexia services be provided if the child is already receiving services elsewhere?\",\"answer\":\"No. Turn Center will not provide services to children who are currently receiving dyslexia services with another school, facility, tutor, practitioner, or therapist.\"},{\"question\":\"How are baseline assessments scheduled and what attendance is expected?\",\"answer\":\"After paperwork is confirmed complete, Turn Center calls to schedule curriculum baseline assessments. Remediation sessions are scheduled four times per week for one-hour sessions, and attendance for all four sessions is required.\"}]","Dyslexia Intake Form - New | DOCX",1788324947,8]