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CATHOLIC DIOCESE OF LEXINGTON PSYCHOLOGICAL EVALUATION RELEASE AND CONSENT FORM While the vocation to the priesthood and its discernment lie outside the strict competence of psychology, psychological
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Obtain a copy of the psychological consent and release form.
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Read through the form carefully to understand all the terms and conditions.
03
Fill in your personal information accurately, including your name, address, contact details, and any relevant medical history.
04
Sign and date the form to indicate your consent to participate in the psychological evaluation or release your information as needed.
05
If applicable, have a witness sign the form as well to confirm that you have freely given your consent.
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Who needs psychological consent and release?

01
Individuals seeking psychological evaluation or therapy services.
02
Researchers conducting studies that involve psychological assessments or interventions.
03
Medical professionals who require a patient's consent to share psychological information with other healthcare providers.
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Psychological consent and release is a form that allows a psychologist or mental health professional to share information about a patient's treatment with others, with the patient's permission.
Psychological consent and release forms are typically filled out by the patient, giving consent to their mental health professional to release information to specific individuals or organizations.
To fill out a psychological consent and release form, the patient will need to provide their personal information, specify who the information can be released to, and sign the form to indicate their consent.
The purpose of psychological consent and release is to protect the privacy and confidentiality of a patient's mental health information while still allowing them to share that information as needed.
Psychological consent and release forms typically include the patient's name, contact information, the purpose of the release, the recipient of the information, and the duration of the consent.
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