Registration form


Evidence-based, definitive diagnoses



If student is under 18, please have parents complete this form. Dysolve® tests and games are for personal use only. For all institutions and organizations, prior written approval from dysolve® is required. Use of dysolve® tests and games is governed by our Terms of Use and Terms of Service.
  • 1

    Student
    information

  • 2

    School
    information

  • 3

    Special ed
    information

  • 4

    Parent
    information

  • 5

    Payment
    plan

  • Student information



    Gender*

    Is Student's first language English?*


  • School information

    Has Student been evaluated with problems in these areas?
    Check all that apply and age at that time.
    Learning disability
    Dyslexia
    Speech/language
    Visual processing
    Hearing/auditory processing
    Processing speed
    Intellectual disabilities
    Developmental delay
    Fine motor (handwriting)
    Behavior
    Attention
    None of the above
    Do you suspect that Student has problems in these areas (even though they may not have been evaluated by a professional)? Check all that apply and starting age.
    Learning disability
    Dyslexia
    Speech/language
    Visual processing
    Hearing/auditory processing
    Processing speed
    Intellectual disabilities
    Developmental delay
    Fine motor (handwriting)
    Behavior
    Attention
    None of the above

    If you are taking any medications that you believe may affect performance in this program, please check here


    Most recent standard tests


  • Indicate if Student received in the past/is receiving at present any of these services.
    Past Speech therapy Language therapy Occupational therapy
    Present Speech therapy Language therapy Occupational therapy
    Fill in the name of any reading or language remediation or intervention program attended.
    Past
    Present

    Does Student use assistive technology for schoolwork? If yes, name each one.

    (Assistive technology includes any device or software to support Student's functioning. Don't include technology used by all students in the regular classroom.)

    Is Student getting extra help for any of these subjects? Check all that apply.
    In school English Math Social Studies Science Reading Writing
    Private tutor English Math Social Studies Science Reading Writing
    At home English Math Social Studies Science Reading Writing

    Does Student get extra time for tests?

    Did Student face any of these? Check all that apply and Student's age at that time.
    Moved to a new home
    Moved to a new city
    New sibling(s)
    Family separated
    Parents divorced
  • Parent / Guardian 1 Information




    Same as Student's

    Parent / Guardian 2 Information




    Same as Student's

    Is there anything else you would like us to know about you?

    We invite you to join important research on language-processing issues to benefit yourself and others.

    Yes, include the above-named Student as a participant in research. This research complies with Human Subjects Research Protocol. See Informed Consent.
    No, do not include Student in research.
    I agree to EduNational's Terms of Service and Privacy Policy.
    Jul 4, 2020
  • Payment information

    Who is paying for this service?*

    Ask your friends to use your referral code when they sign up; you will receive a $50 credit on your next payment. Key in the Referral Code of a member who referred Dysolve® to you, if you have one.

    Authentication code:

    Referral code:

    Choose the right Dysolve® plan for your needs

    • Basic

      Independent learning with little help needed

      Beta Price
      $ 200 / MO
      10% off the regular $222/mo
      • Full dyslexia testing
      • 15 min/mo live asst
      • 24/7 game access
      • Educational materials
    • Premium

      Smooth training with some support

      Beta Price
      $ 350 / MO
      10% off the regular $389/mo
      • Full dyslexia testing
      • 1 hour/mo live asst
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
    • Platinum

      Close monitoring of special cases

      Beta Price
      Individually
      priced
      10% off original price
      • Full dyslexia testing
      • Individually based
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
      • Private consultations
      Call 1-844-DYSOLVE to discuss our Platinum Plan
    • Basic

      Independent learning with little help needed

      Beta Price
      $ 191 / MO
      14% off the regular $222/mo
      • Full dyslexia testing
      • 15 min/mo live asst
      • 24/7 game access
      • Educational materials
    • Premium

      Smooth training with some support

      Beta Price
      $ 335 / MO
      14% off the regular $389/mo
      • Full dyslexia testing
      • 1 hour/mo live asst
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
    • Platinum

      Close monitoring of special cases

      Beta Price
      Individually
      priced
      14% off original price
      • Full dyslexia testing
      • Individually based
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
      • Private consultations
      Call 1-844-DYSOLVE to discuss our Platinum Plan
    • Basic

      Independent learning with little help needed

      Beta Price
      $ 186 / MO
      16% off the regular $222/mo
      • Full dyslexia testing
      • 15 min/mo live asst
      • 24/7 game access
      • Educational materials
    • Premium

      Smooth training with some support

      Beta Price
      $ 327 / MO
      16% off the regular $389/mo
      • Full dyslexia testing
      • 1 hour/mo live asst
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
    • Platinum

      Close monitoring of special cases

      Beta Price
      Individually
      priced
      16% off original price
      • Full dyslexia testing
      • Individually based
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
      • Private consultations
      Call 1-844-DYSOLVE to discuss our Platinum Plan
    • Basic

      Independent learning with little help needed

      Beta Price
      $ 182 / MO
      18% off the regular $222/mo
      • Full dyslexia testing
      • 15 min/mo live asst
      • 24/7 game access
      • Educational materials
    • Premium

      Smooth training with some support

      Beta Price
      $ 319 / MO
      18% off the regular $389/mo
      • Full dyslexia testing
      • 1 hour/mo live asst
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
    • Platinum

      Close monitoring of special cases

      Beta Price
      Individually
      priced
      18% off original price
      • Full dyslexia testing
      • Individually based
      • 24/7 game access
      • Educational materials
      • Online courses
      • eNewsletter
      • Private consultations
      Call 1-844-DYSOLVE to discuss our Platinum Plan

    For discount payment plans, you will receive a renewal notice before your plan expires. For monthly payment plans, your credit card will be billed automatically at the beginning of each month until your student graduates from the program or you cancel your subscription. See Terms of Use and Terms of Service