Forms

Getting Started

We may ask you to complete some of the following paper-based forms; other forms may be emailed to you to complete online.

Consent for service

This form is here so that you can review it prior to our meeting.  It tells you more about the assessment process and the limitations of confidentiality.  We will sign it and review it when we meet.  I will have copies on hand; you do not need to print it or sign it beforehand, unless the legal guardian will not be at the first meeting.

Developmental history form

This is a very long form but helps me get lots of information relevant to a psycho-educational assessment. If you are doing an autism assessment, we will review much of this in our interview, so you do not need to do this beforehand.

School information form

Information from teachers is invaluable.  Please have the teacher most familiar with your child complete this short form.