Request an Evaluation

If you would like to ask a question or request an assistive technology evaluation, we would be glad to hear from you. To help us respond, please share the information below by email to info@accessibilityclinic.org. Please do not include sensitive medical details in your message; we only need enough information to make initial contact.

Information that helps us respond:

Name

Email

Phone (only if you would like a call)

Your role: parent or family member; school or district representative; adult or self-referral; professional or provider; or other

General setting: school; home; workplace; community; or other

A brief description of your primary concern or reason for requesting an evaluation

General service location (city/region or ZIP)

Preferred contact method

Privacy note: We ask only for information reasonably necessary to make initial contact. Please avoid sending detailed medical, diagnostic, or other sensitive information through general email or website messages. For details on how information is handled, see our Privacy Policy.

Open the Evaluation Request Form