Consultation request

Start with a clear school-centered question

Use this online inquiry form to request an independent consultation about a student’s learning, attention, behavior, school performance, evaluation needs, Functional Behavioral Assessment (FBA) questions, or IEP/504-related concerns. Share enough context to help Andrew understand the referral question; you do not need to send records or highly sensitive details in this first message.

Independent school psychology support

Evaluation, FBA, and record-review questions

Parent, school, attorney, and advocate inquiries

Consultation request form

Complete the fields below so Andrew can understand who is reaching out, the student or school concern, and the best way to follow up. Fields marked are required.

Step 1

Your contact information

For follow-up only

Name

Phone

Optional. Use a 10-digit U.S. number if phone is preferred.

Your role

Parents, schools, attorneys, advocates, and other student-support professionals may use this form.

Step 2

Student or school concern

Choose the closest fit. It is okay if the concern spans more than one area or you are not sure yet.

Student grade range

Select the closest current grade range.

Primary concern

Select the main reason for reaching out; you can add detail in the message.

Community / school area

This helps clarify location and school context; no district affiliation is implied.

Preferred contact method

Email Phone

Step 3

Brief referral question

What would you like to clarify?

Please keep this initial message brief and avoid urgent, highly sensitive, or confidential details.

Final step

Confirm fit and limits

I am seeking consultation services for a student, family, school, or organization. I understand that submitting this form does not establish a professional relationship and that I should not include urgent, highly sensitive, or confidential information.

This form is for consultation inquiries only. Vendor solicitations, SEO pitches, marketing offers, and unrelated sales messages will not receive a response.

What to include

A brief, practical summary is enough for the first message. Helpful details include:

• Student grade range and school/community area
• Primary concern, such as learning, ADHD, behavior, giftedness, executive functioning, or FBA needs
• Relevant meeting, evaluation, behavior, IEP/504, or record-review question

After you submit

Andrew will review the request and consider whether it appears aligned with the practice’s school-centered services.
If the concern appears aligned, he will follow up about possible next steps.
Submitting this form does not establish a professional relationship until services are agreed upon.

Important limits

Do not include urgent, highly sensitive, or confidential information.
Lehigh Behavior & Learning does not provide emergency, crisis, therapy, medical, or legal services.
Lehigh Behavior & Learning is an independent professional practice and is not affiliated with any school district, Lehigh University, Lehigh Valley Health Network, or any other educational, university, or healthcare institution.