Contact form

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Name and surname of the child's parents/legal representative:

Phone:

Email:

Name and surname of the child:

Date of birth of the child:

Previous examinations already completed (more options can be checked):

PPP STEP Another counceling center No examination

The child is currently visiting:

Class:

I request an on-site examination:

Difficulties:

A more detailed description of the difficulties:

I am asking for (multiple options can be ticked):

Examination* Consultation Course*

Kind of examination (multiple options can be ticked):

Kind of consultation (multiple options can be ticked):

Pedagogical Psychological Individual therapy Family therapy

Course (multiple options can be ticked):

Preparatory course for children before school* Graphomotor course* Social skills training* Reeaducation* Development program for the support of attention and memory*

* Service provided by VDS STEP experts, a partner organization of PPP STEP.