Telehealth Services provided
Telehealth Services provided
 

INITIAL EVAL PAPERWORK TO GET THE PSYCHOLOGICAL EVALUATION PROCESS STARTED

  • When you complete and send this paperwork by email to icardpllc@protonmail.com or fax to (509) 838-1163. We will then send you the next paperwork based on your child's psychological evaluation needs.
  • Please remember your child needs to be 11 years or under. We have a 3-4 month waitlist for children 5 and under and a 6 month waitlist for those 6 - 11 years as of 12/22/2025.
ICARD Child History 2025 Master.pdf
Adobe Acrobat document [462.3 KB]
ICARD Release Doctor School or Provider [...]
Adobe Acrobat document [113.7 KB]
ICARD Notice of Privacy Practices.pdf
Adobe Acrobat document [215.1 KB]
ICARD Account PRIVATE Ins Form 2025.pdf
Adobe Acrobat document [58.2 KB]
ICARD Account APPLE HEALTH MEDICARE 202[...]
Adobe Acrobat document [37.7 KB]

ICARD, PLLC

Marycliff Hall

701 W. 7th Avenue, Suite 130

Spokane, WA 99204

Door code 13000#

Ph: (509) 838-3932

Fax: (509) 838-1163

If you have questions you can email us at: icardpllc@protonmail.com

 or use the contact form.

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