Request a FREE Consultation

Full Name:*

First

Last

E-mail:

Child's Full Name:*

First

Last

Child's Age:*

School District:*

School District's Law Firm (If known):

If your child is in school, what grade is s/he in?:

Is your child classified?:*

Select AnswerYesNo

If yes, what is the classification:

Select ClassificationAuditorily ImpariedAutisticIntellectually DisabledCommunication ImpairedEmotionally DisturbedMultiply DisabledDeaf/BlindnessOrthopedically ImpairedOther Health ImpairedPreschool Child with a DisabilitySocial MaladjustmentSpecific Learning Disability Traumatic Brain InjuryVisually Impaired

If your child is not classified, has s/he been evaluated by the child study team?:

I understand that Innisfree is not a law firm, and that requesting a preliminary consultation does not create an attorney-client relationship with any attorney. Please initial.*

Briefly describe the issue you would like to discuss with an attorney:*

SubmitReset

Email: office@innisfree-foundation.org

The Innisfree Foundation
657 Ridgewood Ave
Montclair, NJ 07043
Phone: 201-266-0850