Special Education Program Inquiry

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Learn about the many ways to support Green Chimneys and become a part of our unique community!

Thank you for your interest in Green Chimneys' Special Education Program.

For more information about Green Chimneys School for your child or student, please complete the form below or contact Admissions at 845.279.2995 x115.

All information submitted within this form will be kept confidential.
We will respond as quickly as possible.

Parent's name
Best time to call on weekdays between 9am-5pm?
Child's name
Child's birthdate (mm/dd/yyyy)
Grade level
School district
Description of child's challenges
Describe any disability your child may have
Do you have a specific question?
Referring Professional (if any)
Referral contact information
How did you hear about our program?
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