[ Date ]
[name of Learning Consultant in your child's school], LDTC
[School name]
[Address]
Dear [Learning Consultant's name],
We are the parents of [your child's name], age [X], who is currently a 4th grade student at [school name]. The purpose of this letter is to inform you that we are currently in disagreement with the Child Study Team's education (and/or psychological) evaluation(s). The following briefly summarizes the nature of our disagreement:
[summarize your concerns]

We are requesting (an) independent educational (and/or psychological) evaluation(s)) to be provided at public expense. We have included information on the Learning Consultant (and/or Psychologist) we would like to use to conduct the evaluation(s). We have selected this person based on his/her extensive experience in working with [ explain their experience and how it relates to your child's disability].  Please inform us in writing, of the school district's procedure that must be followed to ensure that payment is made.

We look forward to receiving your written response on or before [date 3 weeks from the date on the letter].

 
Very truly yours,
______________________ ______________________
[mother's name] [father's name]
[address] [address]
[phone number] [phone number]
Cc: Ms. Julianna Kusz, Interim Director of Special Services