Welcome to our practice. This document contains important information about our professional services and business policies. Please read it carefully. When you sign this document, it will represent an agreement with West County Psychological Associates (WCPA).
Psychoeducational and psychological testing are collaborative processes between you and a professional clinician to share relevant background information, identify areas of concern, complete formalized testing measures, and discuss testing results and appropriate recommendations. For testing to be most effective, it is important that you take an active role in the process. Testing is not an identical process for everyone. There are many different methods your clinician may use to investigate the problems that you identify together. The type and extent of services that you receive will be determined following an initial interview. If you have any questions about testing procedures, you are always free to discuss them with your testing clinician.
Benefits and Risks
Testing has benefits and risks. Since all mental health services often involve discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, or anger. Benefits may include greater self-understanding and ability to make appropriate life and/or school decisions, among others. Each person’s experience and outcomes are unique to their own circumstances.
Confidentiality and Professional Records
The privacy of all records and communications between a client and a mental health clinician is protected by law. In general, we can only release your information, including testing reports, with your written permission. There are a few exceptions to this general rule, including:
- When a valid court order is issued for records and/or testimony on the part of the clinician, the clinician is bound by law to comply with such an order.
- When there is risk of imminent harm to you or to another person, the clinician is ethically bound to take necessary steps to prevent such harm. This notification may include notifying an intended target of violence, notifying the police, informing a family member about the situation, or seeking appropriate hospitalization.
- When there is suspicion that a child or other dependent person has been sexually, physically or mentally abused or neglected, the clinician is legally required to inform the proper authorities.
- Ethical clinicians consult with professional colleagues about their cases, in order to provide clients the best possible services. If your clinician consults with a colleague, your clinician will not share your name or identifying information.
Fees for Additional Services
If you request that your clinician provide non-testing services, such as attending meetings with school officials or other professionals, charges for those services will normally be higher than the usual rate for in-office testing services and are not included in your original testing fees.
If you become involved in legal proceedings that require your testing clinician’s participation, you will be expected to pay for his or her professional time even if called to testify by another party. Because of the difficulty of legal involvement, charges for such services are higher than those for regular testing services.
Testing clinicians, at their discretion, may charge for excessive time spent on phone calls. This includes calls you make to the clinician as well as calls the clinician makes to others at your request, such as to your child’s school or to your attorney.
Contacts and Emergencies
You may contact your clinician through the WCPA office phone number, (314) 275-8599. In case of an emergency, please call 911 or go to your nearest emergency room. Your clinician is not on-call at all times and may be unreachable. You may leave an emergency message on his or her office voicemail, and your clinician will return your emergency call when they are able.
Clinicians at WCPA regularly include parents in the testing process with their children. Initial interviews and final sessions, during which the written report is presented, will normally be held with adults only. Parents are responsible for deciding whether and how to share the report’s information with their minor child. Your clinician will discuss this with you if you have concerns. WCPA clinicians will notify parents if they believe the minor client is at risk for harm. WCPA clinicians do not see minors under age 18 for psychological testing without parental consent.
In the case of separated or divorced parents, WCPA requires a copy of the legal parenting plan. Unless otherwise stated in the legal parenting plan, both parents must provide signed consent for their minor child to receive testing services and both parents have the right to exchange information with the clinician about the minor child’s testing and results.
WCPA cannot ensure the confidentiality of any form of communication through electronic media. You are advised that any text, email, or internet-enabled communication between you and your clinician involves greater risk to confidentiality than does traditional in-person communication. WCPA strongly discourages electronic communication between clients and their clinicians.
At any time, you have the right to seek a second opinion with another qualified mental health professional. You also have the right to terminate the testing process at any time. If you choose to do so, your clinician may offer to provide you with names of other professionals whose services you might prefer. You will remain responsible for paying the fees of any portion of the testing process that was completed.
Informed Consent for Therapy Services
Consent to Treatment
I voluntarily consent to receive, and/or for my minor child(ren) to receive, mental health assessment, care, testing and treatment. I authorize my clinician through WCPA to provide such professional services. I understand and agree that I will participate in the planning of my testing services and that I may stop these services at any time. By signing below, I acknowledge that I have both read and understood the information in West County Psychological Associates’ Informed Consent for Testing Services document and agree to its terms. This consent ends when I notify my clinician that I am terminating services or one year following my last appointment.
Note: By signing Consent for Testing Services, I acknowledge that I, or my minor child, will receive diagnoses and/or recommendations that are appropriate according to the clinical judgment of my testing clinician. These diagnoses and/or recommendations may or may not be those that I expected or with which I necessarily agree.