Home  |  Faculty Resources  |  High School  |  Postsecondary  |  Training  |  Research  |  Resources

Download Referral Packet

1 step one

Download, save, and print all three sections of Referral Packet below.
High school seniors must also dowload section 4.

next

Refer to checklist for items not included in download that you must provide.

2 step two

Fill out Referral Packet completely (refer to checklists in Section 1).

next

Refer to checklist explanations if you are not clear about certain items.

3 step three

Return completed Packet to:
Karen Myers, Regents' Center for Learning Disorders
331 Milledge Hall
Athens, GA 30602-5873

next

Please note: Incomplete Referral Packets will result in a delay in scheduling.

 

Download Section 1 Download Section 2
Cover Letter
Checklist
Refund Policy
Release of Information Form
Accommodation Release Form
Case History
Download Section 3 Download Section 4
(High School Seniors Only)
Student ADHD Checklist
Parent/Significant Other ADHD Checklist
Study Habits Checklist
Written Language Checklist
Credit Card Agreement
Cover Letter
High School Evaluation Checklist
Release of Information