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Formal Assessment Intake Addendum To be completed in addition to Initial Phone Intake Form Client Name: Date of Request: Who is requesting the evaluation? Why is the evaluation being requested? Contact
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How to fill out psychological evaluation intake addendum

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To fill out a psychological evaluation intake addendum, follow these steps:

01
Start by carefully reading the instructions provided on the form. This will give you a clear understanding of the information required and the purpose of the addendum.
02
Begin by providing your personal details such as your name, date of birth, address, and contact information. Make sure to double-check the accuracy of the information before moving on to the next section.
03
The next step involves providing a brief background about yourself. This may include information about your education, employment history, and any previous psychological evaluations or treatments you have received. Be honest and provide accurate details to ensure an effective evaluation.
04
The addendum may have a section where you need to list the reasons for seeking a psychological evaluation. Clearly explain why you believe an evaluation is necessary and the specific concerns or issues you would like to address.
05
If you have been referred for the evaluation by a healthcare professional or a legal authority, provide their contact details in the designated section. This is important for proper coordination and communication between the parties involved.
06
Depending on the nature of the evaluation, there may be specific standardized questionnaires or assessments that need to be completed. Take your time in answering these questions, providing as much detail as possible. Remember that your answers will help the evaluator understand your situation better.
07
Lastly, review the completed addendum thoroughly for any errors or missing information. Ensure that all sections have been filled out accurately and completely before signing and submitting the form. If you have any doubts or unanswered questions, reach out to the appropriate authority for clarification.

Who needs a psychological evaluation intake addendum?

A psychological evaluation intake addendum may be necessary for individuals who require or are undergoing a psychological evaluation for various reasons. This can include individuals seeking therapy or counseling services, those involved in legal proceedings such as child custody cases or criminal trials, individuals applying for certain jobs or positions that require psychological screening, or individuals seeking disability benefits where a psychological evaluation is required. The specific requirements for the addendum may vary depending on the purpose of the evaluation and the professional conducting it. It is always best to consult with the relevant authority or healthcare professional to determine if an intake addendum is necessary in your particular case.
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Psychological evaluation intake addendum is a supplementary form that provides additional information about the client's mental health history and current status.
Psychologists, therapists, or mental health professionals responsible for conducting the evaluation are required to file the intake addendum.
The intake addendum should be completed by answering all the questions thoroughly and accurately based on the client's responses and assessment results.
The purpose of the intake addendum is to gather comprehensive information about the client's psychological well-being, history, and any relevant factors that may impact their mental health.
The intake addendum typically includes details about the client's mental health history, current symptoms, any previous diagnoses or treatments, and any relevant family or social factors.
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