Psychological Assessment Policies & Procedures
© UHM CSDC
Client Name: _______________________________ ID#: __________________
CSDC Assessment Policies and Procedures
I understand that I must be registered either full time or half time to be
eligible for student
______ Fees: Total cost of testing is arranged and agreed upon by Assessment Coordinator and client with option of paying in installments to Joan at the testing office (QLC Room 307) via cash or check. Please make check payable to: University of Hawai‘i at Mānoa. Total payment is due before feedback session can be scheduled and report can be given.
______ Payment: I understand that payment for testing does not guarantee a specific outcome or result, and that the payment is for testing services rendered.
______ No Show/Cancellation Policy: No shows/same day cancellations will result in a $10 fee added onto my total payment due. I may also be dropped to the bottom of the wait list resulting in a significant delay in completing testing.
Assessment Screening Appointment (50 minutes):
______ I understand that an assessment screen is to explore my needs, strengths, and weaknesses as a student and examine a variety of options to increase my academic success.
______ I understand CSDC is limited in the number of assessments that can be provided. Priority is given to students who are in immediate academic need and are in danger of academic disqualification.
______ I understand that learning assessments can be provided by community agencies. They typically can complete an assessment in a much shorter time frame than CSDC. The cost typically ranges from $1500 and above. Any paperwork or other records I have completed at CSDC can be sent to these agencies if I sign a release of information. Reproduction or duplication costs $0.05 per page.
_____ I understand that if I am unable to be tested this semester, my place on the wait list the subsequent semester will be affected by how soon I provide my new time schedule and availability.
Paperwork to be Completed Before Scheduling an Assessment Intake:
______ Create assessment file (with front desk)
______ Brown ADD (self-report and collateral)