Reading Therapy Inquiry

Complete the form below to ask about reading therapy, written expression therapy, screenings, evaluations, or parent consultation. I’ll review your information and respond with next steps.

You may also email [email protected] directly.

Parent First Name

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Parent Last Name

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Email

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Phone Number

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Child's First Name

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Child's age:

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Child's current grade:

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My main concerns are (check all that apply):

Reading

Spelling

Fluency

Comprehension

Dyslexia

Writing / Dysgraphia

Reading Screening

Literacy Evaluation

Not Sure

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I'm interested in (check all that apply):

Build

Take Flight

Jet

Reading Screening

Literacy Evaluation

Parent Consultation

Not Sure Yet

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What have you already tried?

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Tell MIRA anything else important: