Through the use of a variety of standard psychological tests, we will attempt to answer the questions that have brought you for this assessment. These questions generally concern learning disabilities, academic functioning, personality functioning, or coping styles. Throughout the assessment process you have the right to inquire about the nature or purpose of all procedures. You also have the right to know the test results, interpretations, and recommendations. The assessment process generally involves an informational interview followed by the administration of one or more educational and/or psychological tests. Although it is sometimes possible to complete the testing procedure in one sitting, it is common for people to be asked to return for another session to finish the assessment battery. Once testing is completed, the data will be analyzed and a report will be written. You will then have the opportunity to meet with your clinician to discuss the results and receive a copy of the report. Because we are a training clinic, our general turnaround time for completed reports is about 4-6 weeks. 

You/your child will be tested or evaluated by a person with the following credentials: 

Technician: All technicians have had additional education and clinical training, and have a master’s degree in a related field or at least a bachelor's/masters in psychology. Technicians receive extensive and close supervision with our Board Certified Child and Adult Psychiatrist who remains responsible for the client’s well-being, evaluation,  interpretation,  and the results of the evaluation. 

Some insurance companies require a Licensed Psychologist to complete psychological testing. We DO NOT have a psychologist on staff. This may result in a self-pay rate. 

1. Full Psycho-Educational Evaluation. The purpose of this evaluation is to provide an in-depth study of the cognitive processes and personality functioning of an individual. This evaluation can also be used to diagnose learning, behavioral, and psychiatric disorders. 

1. Learning, Attention, or Personality Screening. The purpose of this evaluation is to provide a brief assessment of cognitive, academic, or personality functioning that may be contributing to academic or behavioral problems. The results will indicate whether a more in-depth study is necessary. 

1. Diagnostic Evaluation. The purpose of this evaluation is to diagnose behavioral or emotional disorders such as ADHD. 

1. Other such as differential diagnosis

It is important to understand that IBHG does not perform custody evaluations for children, which is a highly specialized field. In addition, the Clinic does not perform forensic psychological evaluations (to examine and evaluate a patient in anticipation of prosecution or litigation) If you are considering using the results of an evaluation for a custody dispute or for legal purposes, please consult with experts in those areas. 

The type(s) of measures you/your child may receive include but not limited to:

• Cognitive Testing – to assess overall intellectual ability, as well as strengths and weaknesses in verbal comprehension, perceptual reasoning, working memory, and processing speed. Memory Testing – to assess overall intellectual ability, as well as strengths and weaknesses in verbal comprehension, perceptual reasoning, working memory, and processing speed. 

• Achievement Testing – may be in the areas of word reading, phonics, reading comprehension, written language, math reasoning and calculations, and academic fluency. Measures of oral language may also be obtained. 

• Attention and Executive Functioning Testing – to assess attentional processes, along with any difficulties pertaining to initiation, sustained effort, emotional modulation, ability to monitor and self-correct, working memory, organization and planning.

•  Diagnostic Interview and Developmental History – to obtain information about the examinee outside of the testing situation, and to obtain a comprehensive history in order to make a more reliable diagnosis. 

• Behavior Rating Scales and/or on-site behavioral observation at school in order to get a sample of behavior which occurs outside the office setting. 

• Social Emotional Assessment (Projective Testing) – to obtain information of the individual pertaining to psychiatric diagnosis, interpersonal relationships, self-concept, etc. Interviews with teachers, other family members, physicians, or other relevant individuals (Note: interviews will only be performed with written consent). 

The type(s) of feedback you/your child will receive may include: A comprehensive written report that provides findings for each measure, an integrative summary, and recommendations for treatment and/or other interventions. A brief, written summary report (approximately one page) that provides an overview of findings and recommendations. In-person, verbal feedback. Other________________________________________________________________________

The interpretive information contained in the report should be viewed as only one source of hypotheses about the individual being evaluated. No decisions should be based solely on the information contained in the report. This material should be integrated with all other sources of information in reaching professional decisions about the individual. The report is drawn from information provided by questionnaires, consultation, observations of behavior and the data gathered from the assessment itself. They represent the professional opinion based on this information.  

The fee for an evaluation is based on the number and type of tests included in the assessment battery. The fee may be adjusted at times depending upon the purpose of the evaluation and the tests used. Any adjustment to the standard fee will be noted in the space below. Due to the many changes in insurance policies, it is no longer an easy task to interpret each individual policy. Although we try to stay aware of these changes, it is not always possible. It is equally difficult, due to the new privacy laws and their interpretation by each individual insurance carrier, to obtain information regarding eligibility and plan coverage.

It is ultimately your responsibility to know your individual coverage. Failing to do so could result in you being responsible for some or all of the costs incurred. Please remember that your insurance policy and coverage is between you and your insurance company.

By signing this document you understand that the co-pay and deductible estimate may change somewhat when the payment is received from my insurance company. I understand that should my insurance company refuse to pay the bill, I will be fully responsible for it.

If your insurance does not cover testing, payment plans will be discussed depending on the needs of the individual.

An additional fee of $20 per hour will be charged for arriving late and 100$ for missed appointments and is NOT covered by insurance.

Full payment  must be paid in full no later than the feedback session.

For clients requesting accommodations for Learning Disability or Attention Deficit Disorder, a psychological test report will be provided to the appropriate agency. We will only release these records after you have signed a consent form. Should the agency request specific information (such as a particular report format or an additional form), this will be provided at an additional cost according to the sliding fee scale. At least two weeks notice is required to complete any additional forms. 

RELEASE OF RECORDS 

Written records are released only after a consent form is signed by the client or their Parent/Legal Guardian.

I understand that the information obtained in this evaluation is confidential and will not be released to any person or organization without my written permission. (This release is available in our office or may be completed with any individual whom you wish to give such access, and then provided to us.) The only exceptions to this policy are rare situations in which you are required by law to release information with or without my permission. These are: 1) if there is evidence of physical and/or sexual abuse of children or abuse to the elderly; 2) if you judge that I am in danger of harming myself or another individual; and 3) if my records are subpoenaed by the court. In the rare event of any of these situations, you would attempt to discuss your intentions with me before an action is taken, and you would limit disclosure of confidential information to the minimum necessary to insure safety. I understand that if IBHG deems that additional or alternative testing be necessary, the Clinic will describe the reasons for this testing and will advise me of any additional costs. I understand that I have the right to discontinue the evaluation process at any time. However, I understand that IBHG may be unable to provide feedback of the test results if testing is terminated, and that I will still be responsible for payment of any testing, scoring, and evaluation time provided up until that point.