Diagnostic Evaluations Forms
Please click to download the Diagnostic Evaluation Services Welcome Letter, Required Paperwork Checklist, Contact Sheet, Evaluation Information Form for the relevant program, and current Evaluation Fee Schedule (documents require Adobe Acrobat Reader):
- Welcome Letter
- Required Paperwork Checklist
- Contact Sheet
- Evaluation Fee Schedule
- Early Learning Center Evaluation Information Form
- Lower School Evaluation Information Form
- Secondary Evaluation Information Form
- Deafblind Evaluation Information Form
The Early Learning Center (age 3 to 6), Lower School Program (age 5 to 14), and Secondary Program (age 13 to 22) conduct evaluations for students who are blind or visually impaired with or without other disabilities. The Deafblind Program (age 3 to 22) evaluates students who are deafblind and those who are deaf with additional disabilities.
If you have any questions, or if you would like us to send these forms to you by mail, please contact us using the following contact information. Also, please let us know if you would like to receive additional information about Perkins Programs and Services and upcoming events, and we will keep you informed by mail and/or e-mail.
Thank you. We look forward to hearing from you soon.
Justine C. Rines
Evaluations Coordinator
(617) 972-7456 phone
Jennie Schofield
Administrative Assistant
(617) 972-7227 phone
(617) 972-7715 fax
Evaluations@Perkins.org
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