Forms

The following forensic forms are available for downloading by clicking the underlined title.

   Custody Evaluation Referral Order
This is a modified/personalized version of the form developed by Dr. Robert Erard, licensed psychologist, and Honorable John N. Kirkendall. It should be used when referring custody cases to Dr. Bow.

Parenting Time Evaluation Referral Order
This form should be used when referring parenting time cases to Dr. Bow.

Psychological Evaluation Referral Order
This is a modified version of the above form which was specifically developed for psychological evaluations. This type of evaluation focuses on the psychological functioning of the referred individual(s) and does not address custody or parenting time issues.

Statement of Understanding for Custody Evaluations
This form is sent to the parties prior to their first appointment. It outlines the procedures for the evaluation, along with the limits of confidentiality.

Statement of Understanding for Psychological Evaluations
This form is sent to the party/parties prior to the first appointment. It outlines the purpose and procedures for the evaluation, along with the limits of confidentiality.

Payment Agreement Form
This form is sent to the parties prior to their first appointment. It outlines the evaluation cost and fee schedule.

Statement of Understanding for Spouses/LTP's in Custody Evaluations
If either parent is married or has a live-together-partner, this form is reviewed and signed.

Informed Consent Form for Collateral Sources in Court-Ordered Evaluations
This form is reviewed and signed by collateral sources seen for face-to-face interviews.

Child History Form
Parents are requested to complete this comprehensive history form for each child.

Psychosocial History Form
This comprehensive personal history form is usually completed by each parent prior to the first appointment.

General Psychosocial History Form
This comprehensive personal history form is usually completed for psychological evaluations.

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