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LUMI First Request

Therapist Name

Therapist Name

Clinic Name

Email

Child ID / Child Nickname

Use a nickname or internal identifier instead of the child's real name. Keep this Child ID for future requests, as it helps us retrieve the child's profile and speeds up future orders.

Child Age Range

A
B
C
D

Interests

Other interests

Sensory Sensitivities

Other Sensitivities

Communication Level

A
B
C
D

Material Type

A
B
C
D

Other material type

Describe your first request

Describe the task and sequence of actions in the social story in as much detail as possible.
Tip: Please review your request carefully before submitting. Small spelling mistakes or unclear instructions may lead to misunderstandings and delay your order.

Upload Files

Optional: You may upload reference images, examples, or similar materials you'd like us to use as inspiration. This is completely optional but can help us better understand your needs.

Preferred Character

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Urgency