Request for Assistance for Special Education or 504 Plan Issue​

If you are a former client, please request that your case be re-opened by logging into your MyCase portal or sending us an email. The form provided on this page is to be completed only if you are requesting services for a school-related matter.

If you just have a question or wish to speak with someone, please go to the Contact Us page.

Our Fees​

Educational Consultation/Advocacy services are $95/hour, plus travel time for one way of travel and round-trip mileage at $.445/mile (although we make every attempt to assign an advocate as close to you as possible, we may not always be able to do so). Each new case will also be invoiced up to one hour for file review by an attorney. Legal services provided by an attorney (travels from Sedona) will vary depending on the type of matter (range is from $170 to $350 per hour).

​NOTE: Because we take cases based on our availability and consider requests in the order received, there is no guarantee that we will be able to take your case. Therefore, completion of this form does not mean that we will be able to accept your case. Completion of this form also does not mean an attorney-client relationship has been established. You will receive an email within 48 hours letting you know if we are able to take your case, unless we have additional questions. We will require that you sign a fee/representation agreement along with payment of an advance fee deposit of $400 (this advance deposit will be used towards your incurred fees and any unused balance remaining will be reimbursed upon completion of our work).

    Name of Parent(s)*
    I am primarily seeking the services of an:*
    Are you a former client?*
    If you are not a former client, have you contacted our office previously?*
    Marital status*
    If divorced/separated, name of previous partner/spouse:
    Who has legal decision-making?*
    Full Address*
    Parent(s)' place of employment (if working)
    Name of Child for whom you are seeking assistance*
    Child's Date of Birth*
    Name of School and Address*
    Name of School District*
    Name of Child's Special Education Teacher
    Name of Child's General Education Teacher
    Name of School Principal
    Child has an IEP or 504 Plan?*
    Child's primary disability
    Current educational program (i.e., inclusion, self-contained, resource, special school, charter, homeschooling, etc.):*
    Date of last school meeting
    Date of next school meeting, if any
    Brief description of what you want as an outcome of our representation or services:*
    Other agencies involved with your child (please include contact name and phone number):
    Have you previously worked with an advocate or attorney on a special education issue?*
    If you have worked with an educational advocate/attorney in the past, please provide name(s), or write N/A if none:*
    Best times for a call back
    Please check this box:*

    IMPORTANT: Once submitted, please check your junk/spam folder if you do not receive an email from us within 2-3 days!