Screening Appointment Request
Basic information for the SPS screening department to contact parents/guardians.
Please enter the contact information and a screener will be in contact to set up an appointment for a virtual screening.
To complete the screening process, please click on the following link.  
This document includes links to complete wonder years, kindergarten or other screenings.
https://docs.google.com/document/d/1Qnx9I4tv3mXqjyurloU4qYd_xZjL2GePl_yPPK57FUY/edit?usp=sharing
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Email *
Parent/Guardian first and last name *
Parent/Guardian contact phone number *
Best time of day to contact you *
Child's first name *
Child's last name *
Child's date of birth *
MM
/
DD
/
YYYY
Your child needs  a screening for: *
Home address (ex: 123 N. Main St.) *
Must live in Springfield Public School District
City and zip code (ex: Springfield 65810) *
A copy of your responses will be emailed to the address you provided.
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