Forms

Rory Fleming Richardson, Ph.D., ABMP, TEP

Clincial Medical Psychologist & Neuropsychologist

Below are evaluation paperwork which would be helpful to have filled out at the first session.

BACKGROUNG HISTORY: ADULT FORM (PDF — 234 KB)

BACKGROUND HISTORY (CHILD/ADOLESCENT) (PDF — 187 KB)

RICHARDSON DIAGNOSTIC QUESTIONNAIRE (PDF — 165 KB)

ADULT BACKGROUND QUESTIONNAIRE PDF.pdf (PDF — 595 KB)

RELEASE OF INFORMATION.pdf (PDF — 163 KB)

Home
CLINICAL PRACTICE PEARLS
Biographies
Assessment & Treatment
Pain Management
Asking The Right Questions
Irlen Syndrome
Traumatic Brain Injury
Medical Psychology
Post-Concussion Vision Issues
Words Cause Dis-Ease (NEW)
Evidence-Based Research Errors
Beyond DSM-V
Attitudes To Correct
Difference in Medical Care
Spirituality & Psychology
Detoxing from a Toxic World
Forms
Resources Available
Links To Online Resources
When Exploring
Screen Addiction
Acquired Cumulative Systemic

Home
CLINICAL PRACTICE PEARLS
Biographies
Assessment & Treatment
Pain Management
Asking The Right Questions
Irlen Syndrome
Traumatic Brain Injury
Medical Psychology
Post-Concussion Vision Issues
Words Cause Dis-Ease (NEW)
Evidence-Based Research Errors
Beyond DSM-V
Attitudes To Correct
Difference in Medical Care
Spirituality & Psychology
Detoxing from a Toxic World
Forms
Resources Available
Links To Online Resources
When Exploring
Screen Addiction
Acquired Cumulative Systemic

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