SPAN Individual Assistance Inquiry

Our records indicate that you have requested assistance from SPAN. In order to respond to your request, we need to know more about you. Please review the information from our records entered on the form, correct it as needed, and add additional information so that we can serve you. All information will be kept confidential.
Contact Information





Additional Contact Information - Please review and make any updates or enter the information 

If your Primary Language is not English, please click on the x above and select your Primary Language.







We can provide general information, please indicate the primary topic you are interested in below.

If you need to request assistance for more than one child, select the option to request assistance for another child at the bottom of the form.
Assistance/Request Information for a Child
If you need assistance for more than one child, you must complete this section for each child.











If you need to request assistance for more than one child, click the “Add another child” button below.
Assistance/Resource Information
SPAN is unable to discuss an individual child with anyone other than a parent/guardian without prior written consent from the parent/guardian.  

We can assist you with general information related to special education but cannot discuss an individual child.