REQUIRED FORMS

After you have scheduled and paid for your exam, you will need to complete the following four (4) forms. All four (4) forms below are required and must be submitted no less than 48 business hours prior to the examination date.

SUBJECT FORMS

Three (3) of the forms are to be completed by the Subject taking the exam:

ACCUSER / VICTIM FORMS

One (1) of the forms is to be completed by the Accuser / Victim:

All forms are HIPAA compliant to protect your information and privacy.

All forms are required and are due no less than 48 business hours prior to the examination date and time.

Failure to provide any of the above forms may result in rescheduling of the appointment or cancelation of services without refund.

 

 

1. COVID-19 RELEASE FORM:

https://hipaa.jotform.com/202523368077153

2  SUBJECT'S STATEMENT & CASE INFORMATION FORM:

https://hipaa.jotform.com/202522948377159

3. SUBJECT'S PRE-EXAM CHECKLIST:

https://hipaa.jotform.com/201014532142133

4. VICTIM / ACCUSER'S STATEMENT & CASE INFORAMTION:

https://hipaa.jotform.com/202524008177146