**Call the Information Line at (608) 663-8471 if you need assistance in completing the form and when making an immediate referral to evaluate your child for Special Education.


Private/Parochial School: If you are the parent of a child enrolled at a private/parochial school within Madison, you may contact your child's teacher or school administrator for intervention information. Check the MMSD Private/Parochial webpage for more information.

Child's Information
Parent / Guardian Information
Information About Person Making Request
Childcare / Preschool Information (if applicable)
Child Concerns & Information