Assessment Inquiry

IN PARTNERSHIP WITH GUTHRIE COUNSELLING & CONSULTING

Are you looking to have an assessment completed for you or someone you care for?
If yes, please fill out the contact form below & we will get back to you within
48 business hours.

If not, and you are looking for team coaching & support, individual coaching or counselling services, please refer to our Contact Page to find out the next steps!

ASSESSMENT INFORMATION

Please complete the form below

Name of Client to be Assessed

First Name

Last Name

Name(s) of Caregivers (If Applicable)

First Name

Last Name

Email

Phone

(###)

###

####

City

Age of Client to be Assessed

*Please note: Psychoeducational Assessments cannot be completed for children under the age of 6. Please contact our admin team to inquire about assessment alternatives.

Type of Assessment

How did you hear about Dr. Lin & Associates?

Can you please tell us more about your needs at this time?