Format of The Psychological Test Report NCMH
Format of The Psychological Test Report NCMH
Format of The Psychological Test Report NCMH
PERSONAL DATA
Name:
Area of Confinement:
Age: Civil Status:
Birthdate:
Birthplace:
Educational Attainment:
Referred for:
Referred by:
Date Examined:
GENERAL OBSERVATION
– Physical Appearance / Description
– HPI
– Substance History
– Family History
– Behavioral Report
TESTS ADMINISTERED
(for example)
WAIS-R / WISC-R
BVMGT
DAPT
SSCT
GENERAL SUMMARY
- Intellectual Ability
- Emotional Functioning / Status
- Social Aspect
- Sexual Aspect
- Defense Mechanisms