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1) General Intake Information form

https://international-iq-test.com/en/

2) IQ Assessment and Score

3) Medical Rule OUT

Hearing Problems
Vision Problems
a lot of ear infections?
high fevers that lasted a long time?
diabetes (high blood sugar)?
a lot of headaches or migraines?
a head injury?
convulsions or seizures?
serious health problems?

4) Suspected of what disability

Disorder Ruled Out (Yes or No)


Specific Learning Disability (Dyslexia,
Dyscalculia, Dysgraphia, Expressive Writing
Disorder)

Other Health Impairment: ADHD/ Other


Health Impairment means having limited
strength, vitality or alertness, due to chronic
or acute health problems such as a heart
condition, tuberculosis, rheumatic fever,
nephritis, asthma, sickle cell anemia,
hemophilia, epilepsy, lead poisoning,
leukemia, or diabetes, which adversely affects
a child's educational performance. (
ASD
Emotional Disturbance
Speech or language impairment

Visual impairment, including blindness


Deafness

Hearing impairment

Deaf-blindness

Orthopedic impairment

Intellectual disability

Traumatic brain injury

Multiple disabilities

https://www.lexercise.com/tests/dyslexia-test?
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cNpo39D9kkzB51GIXXDIaAuMOEALw_wcB

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