Orton-Gillingham Dyslexia Tutoring Request Form

Specialized Dyslexia Tutoring with Orton-Gillingham Methods

Finding the right support for dyslexic learners shouldn't be complicated. This Orton-Gillingham dyslexia tutoring request form helps parents, guardians, and educators connect students with specialized reading and writing support that makes a real difference.

Evidence-Based Approach for Dyslexic Learners

The Orton-Gillingham approach is the gold standard for dyslexia intervention, using multisensory techniques that engage visual, auditory, and kinesthetic pathways simultaneously. This form captures essential information about each student's unique learning profile—from phonological awareness gaps to decoding challenges—so tutors can create truly individualized instruction plans from day one.

Whether you're a learning center, private tutor, or school district offering specialized literacy support, this template helps you gather everything you need: current reading levels, previous interventions, areas of struggle, assistive technology use, and family goals. The structured intake process ensures no critical detail is missed while respecting the time and emotional energy families invest in finding help.

Streamline Your Tutoring Practice with Paperform

Built on Paperform's flexible platform, this form adapts to your workflow. Collect detailed student information, schedule initial assessments, and even process tutoring package payments—all in one place. The conditional logic shows relevant questions based on previous answers, creating a personalized experience for each family.

Connect this form to your scheduling system, CRM, or client management tools using Stepper to automatically trigger welcome emails, create student folders, or notify your tutoring team when new requests arrive. For practices requiring signed agreements or consent forms, Papersign lets you seamlessly transition from intake to executed contract.

Designed for Education Professionals Who Care

This template is trusted by special education teachers, certified Orton-Gillingham practitioners, learning centers, and educational therapists who understand that behind every form submission is a family seeking hope and help. The questions are designed with sensitivity and clarity, making it easy for parents to share their child's story while providing tutors with actionable information.

Start using this dyslexia tutoring request form today and spend less time on administrative tasks and more time changing lives through literacy.