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Expert Enquiry Form

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To instruct us please fill in the expert enquiry form below.
Referrer's Name:
Referrer's E-mail:
Referrer's Telephone No:
 
 
Date:
Case Number or initials:
 
 
Geographical location of client(s):
 
 
Type of assessment required - tick all required boxes under the 3 sections
Child and Family  
Assessment of attachment
Assessment of parenting capacity
Assessment of parents with learning disability
Assessment of contact arrangements
Risk assessment - Sexual
Risk assessment - Domestic violence
Capacity to protect
Assessment of cognitive function
Assessment of current psychological state
Neuropsychological assessment
Other (specify):
   
Criminal  
Fitness to plead
Witness reliability
Psychological state assessments
Cognitive function and vulnerability assessments
Neuropsychological assessments
Capacity assessments
Risk Assessment - Sexual offending
Risk Assessment - Violence
Risk Assessment - Drugs/alcohol
Risk Assessment - Pre-sentencing reports
Other (specify):
   
Civil/Personal Injury  
Road traffic accidents
Industrial accidents
Stress at work or any other response to trauma
Neuropsychological assessment
Capacity assessments
Other (specify):
 
 
Number of Adults to be assessed:
 
 
Age of Adults to be assessed:
(if more than 1 seperate ages using a comma)
 
 
Number of Children to be assessed:
 
 
Age of Children to be assessed:
(if more than 1 seperate ages using a comma)
 
 
Preferred Expert:
view experts profiles		 If you have a preferred expert, or experts please state and we will clarify the earliest filing date. If you would also like to know the earliest available filing date regardless of expert please tick appropriate box
 
 
Do you want to know the earliest available filing date for any expert? Yes No
 
 
Timscale:
(if known)
 
 
Final hearing date:
(if known)
 
 
Is it ok for more than one expert to be instructed in completing the assessment requirements?: Yes No It is good practice in complex cases for more than one expert to independently assess the critical issues. At Psychology Associates we aim to provide comprehensive coverage of assessments and value collaborative working within the practice. Thereby experts who are familiar with one another’s working practice can ensure there is minimal duplication and that experts with the most appropriate knowledge will be addressing the relevant questions at issue, whilst maintaining clinical independence. Such an approach is intended to reduce the necessity for lengthy Court attendance by clearly informing the Court and parties about areas of agreement and or disagreement.
 
 
Additional Information:
   
   

 
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