Psychological Report Outline
Psychological Report Outline
I. General Data
Name:
b. Place and Date of Birth:
c. Edad: Años, meses, días.
d. Education:
e. Educational Center:
Mother's Name
g. Profession
h. Father's Name:
i. Profession
j. Evaluator:
k. Evaluation Date:
II. Reason for Evaluation/Consultation
Describe the reason why the patient is requesting the evaluation.
III. Anamnesis
Information obtained during the interview conducted with the patient or with the
parents. In some cases, information provided by the school or the
grandparents.
IV. Assessment Methods and Applied Tests
List the tests that were applied during the evaluation.
V. Observed Behavior
Describe the child's behavior during the evaluation. Only
the relevant data that support a good diagnosis.
VI. Analysis and Interpretation of Test Results
Psychological - Quantitative and qualitative (the tables are in the appendix)
a. Intellectual Area
b. Neuropsychological area, visuomotor, visual perceptual, visuospatial,
reasoning, language, memory, attention, others.
c. Area of Personality
d. Emotional area
VII. Summary and Diagnostic Impression
VIII. Forecast
IX. Recommendations
fathers
b. School
X. Psychometric Summary of Scores/Material
Psychoeducational. - This section goes in the Appendix.
Observations: