Form Development The Reading Ranch Diagnostic and Testing Registration "*" indicates required fields Parent Name* First Last Email* Phone* Address* Street Address City State / Province / Region ZIP / Postal Code Child's Name* Child's Age* Assessment Type*Choose your AssessmentDyslexia Screener - $798Dysgraphia Screener - $798Dyscalculia Screener - $798Academic Checkup - $798Academic Language Screener - $798Additional Screening Testing - (Dyslexia, Dysgraphia, Dyscalculia). $500Full Psychoeducational Assessment - $2,100Targeted Dyslexia Assessment - $1,500Targeted Dysgraphia Assessment - $1,500Targeted Dyscalculia Assessment- $1,500Intelligence/Cognitive Assessment - $950Targeted Achievement Assessment- $850ADHD Assessment with academic screener- $1,200ADHD Assessment with Full Psycho-educational Assessment - $3,000Assessment of Learning - $850Private School Admissions Assessment -$850Gifted and Talented (GT) Assessment or Appeal - $1,200Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Additional Questions Δ
