Dear Parents,

Thank you for your interest in LRC Services.

Kindly find below the required documents for LRC registration file:

  • Child’s Birth Certificate if Egyptian, or passport for foreigners,
  • Father’s National ID (both sides),
  • Mother’s National ID (both sides),
  • LRC Services & Charges List signed in approval,
  • Payment of the amount LE900 or US$65 for non Egyptians.

Please note that the above ite ms are MANDATORY to complete your child’s registration process.

Thank you and best regards,

LRC Management

1 Step 1

Intake Application Form – Parent’s Form

Age: 11+ years old

Personal Data:
Family Background:
Siblings:
Office use only:
Medical History:
1. How long was the pregnancy pre-mature or full-term
2. What kind of Delivery?
3. Were there any problems during or straight after birth?pick one!
4. Did the child need an incubator needed after delivery?pick one!
5. Was the child breastfed as a baby?pick one!
6. Was the child hospitalized before?pick one!
7. Does the child have any current health concerns?pick one!
Educational History:
* Attach or bring copies of school progress reports to the initial interview meeting
Schooling Information:
- Has your child ever received special services at school?
- Has your child ever repeated a grade in school?
- Has your child ever been suspended or expelled?
- Does your child persistently refuse to go to school?
Previous Assessments:
Has your child ever had an assessment of or therapy for:
Vision
Hearing
Speech/Language
Neurological Function
Other
* Attach or bring copies of previous assessment or therapy reports to the initial meeting
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