Cognitive, Academic, and Neuropsychological Evaluation

If you are a new assessment client, please print and complete these four forms and bring them with you to your first visit.

Client Information Sheet (PDF)

History for Cognitive/Neuropsychology Assessment (PDF)

Assessment Billing Agreement (PDF)

Assessment Disclosure Form (PDF)

 

The below Release of Information Form should only be completed ifyou would like to give me permission to communicate with a clinic or an individual that you name in the form.

Release of Information (PDF)

 

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