Please complete and submit to request an evaluation
This request is not for ongoing treatment but for evaluation and reporting purposes only.
I understand the difference between treatment services and forensic evaluation and consent to the forensic process.
I understand that the evaluation findings may be shared with the court or legal counsel.
I acknowledge and understand that forensic mental health assessments are non-treatment services and are not eligible for insurance reimbursement. These services will not be submitted to any insurance carrier. I accept full financial responsibility for all fees associated with the forensic evaluation and related services.
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