Education Rights Enquiry Form

Use this form to request a consultation or ask a question about special education, IEPs, 504 plans, or school discipline matters.

Parent / Guardian Name:*

First name, Last name please

Email:*

Student's First Name (Optional):

School Name (Optional):

Age of Student:*

Phone*

Type of Support You’re Seeking (select all that apply):*

IEP review or support

504 Plan review or support

Preparing for a school meeting

Mediation or due process hearing

School discipline issue (e.g., suspension, expulsion)

Disability access concern (IDEA, ADA, Section 504)

Not sure / general enquiry

Brief Description of Your Situation:*

Preferred Consultation Format:*

Telephone Call

Video Call

Email Response

In-person (if available)

How did you hear about us?*

Birch Hill Chambers LLC

115 Forest Avenue Unit 61

Locust Valley, NY 11560 USA

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