Free Consultation

We want to ensure that all of your questions are answered and that GOALS is the right match for your student. Consultations run between 30 and 60 minutes and are held with one of our executive staff members.

Any background information that you provide will help us answer your questions to the best of our ability. All information is kept strictly confidential. We strive to respond to all inquiries within 24 to 48 hours.*

*By submitting this form, you agree to receive telephone calls and text messages at any time, which include hours outside of business hours (9:00 a.m. PST - 9:00 p.m. PST). This is so that we may reach you as soon as possible in order to assist you.

Adult Client

Parent (if student is a minor)

First Name

Last Name

Phone

(###)

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City, State

Best times and days to reach you

Student name

First Name

Last Name

School

Grade

Identified learning disabilities

Short summary of concerns

How did you hear about us?

Referral Name