Cleveland Psychological Testing Intake Form – Cleveland Psychological Testing

Cleveland Psychological Testing Intake Form

Please use this intake form to request more information or to set up an appointment. We have NO waiting list and book about one week out. Please note that we do NOT accept health insurance. Read more about why not here. We always respond to messages within one business day.

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Name *

Please check your preferred method of contact *

Email
Phone
Either Email or Phone is fine

Email *

Phone (Optional)

Please check all good times for a callback on a business day *

9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
5:30 PM

Please review all the evaluations and select the one that best applies. *

Pre-Hire Public Safety Officer Screening ($650)
Adult ADHD Assessment ($750)
Fitness for Duty Assessment ($1250)
Court-Ordered Evaluation ($750+)
Military Readiness / Mental Health Waiver Assessment ($500)
General Mental Health Assessment Only ($350)
Guardianship / Capacity Assessment ($1500)
Personal Injury Evaluation ($2000)
Adoption Evaluation ($1500)
Immigration Evaluation ($1250)
Disability Evaluation (BWC, SSA, VA; $1250)
Other

You selected "Other." Please provide more details on the type of evaluation needed here. *

Are you looking for an appointment for yourself, a friend, or a family member? *

Myself
A friend or family member
I am an attorney, medical/mental health provider, HR representative, public safety administrator, or some other professional representative inquiring for an evaluation for someone else

Please briefly provide background information on why you need an evaluation *

How did you hear about us? *

Custom Captcha *

To verify that you are a human... :)

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