LETTER REQUESTING A Neuropsychological evaluation

PARENTS NAME

ADDRESS

CITY, STATE ZIP CODE

TELEPHONE NUMBER

Date

(Name of Special Education Director)

(Name of School District)

(Address of School)

Dear (Name of Special Education Director):

I appreciated the opportunity to meet with you, along with my advocate, Sue Cool, on April 8, 2001.

I was pleased that you agreed to my request for an Independent Educational Evaluation for my child, (child’s name).

Because of my child’s neurological history (a copy of his most recent EEG is enclosed) and his continuing Phenytoin therapy, I am requesting a psychological evaluation by a practitioner with a background in neurological disorders. I would like the evaluation to detect the presence of an organic brain dysfunction, the nature of the problem, the extent of the problem and how it impacts my child’s educational performance.

I believe it is important to attempt to isolate the problem area and develop compensatory strategies to bypass the problem. We want to know why there is such a disparity between his school psychological evaluation and his report card, and specifically, why he is so poorly organized.

I request testing to measure his thinking ability, memory ability, speech and language ability, motor ability, sensory and perceptual ability and personality testing. I would like the evaluation to specifically include the Halstead-Reitan test battery which I am sure you are aware, is a series of memory tests, language-based tests, visual –memory based tests and tactile memory tests, as well as the Speech Sounds Perception test battery, which zeros in on phenic ability.

As you requested of me at our meeting, here are the names of three acceptable evaluators:

1.

2.

3.

To avoid confusion, please send me the criteria regarding credentials for qualified examiners. I am anxious to receive your list of suggested sources and locations, procedures for reimbursement, as well as to arrange a reasonable, expected cost. I am looking forward to receiving the above requested information and I am aware that I am not restricted to your suggested sources but will, of course, inform you as soon as I make my decision.

We are most anxious to move forward with this plan so that we can put together the most appropriate educational program for our child to assist him in reaching his full potential. I am sure you are as concerned as we are to see him serviced properly.

Sincerely,