Telehealth Services provided
Telehealth Services provided
 

INITIAL 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 currently have an 8-10 month waitlist as of 03/02/2023.
ICARD Child History 2023 Master.docx rev[...]
Adobe Acrobat document [646.9 KB]
ICARD Release for Doctor or School 2023.[...]
Adobe Acrobat document [1.1 MB]
ICARD Account APPLE HEALTH 2023 Form.pdf
Adobe Acrobat document [457.5 KB]
ICARD Account PRIVATE SECONDARY Ins For[...]
Adobe Acrobat document [482.6 KB]
ICARD Notice of Privacy Practices.pdf
Adobe Acrobat document [215.1 KB]

ICARD, PLLC

Marycliff Hall

701 W. 7th Avenue, Suite 130

Spokane, WA 99204

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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