Answer the referral question. Report scores with what they mean and their limits, and keep raw test material out of the report as the test publisher requires. Print with your browser's Print command; the site's menus are left off the paper.

Psychological assessment report

Trainee: ____________________ Placement: ____________________ Date: ____________

Identifying information and referral question

Who asked, and exactly what they want to know

Sources of information

Interviews, records, informants
Tests given, with dates and edition

Background

Relevant history only

Behavioural observations

Effort, attention, rapport, anything that affects validity

Results

Scores as standard scores and percentiles, with confidence intervals
What each result means in everyday terms

Formulation

How the findings fit together to answer the referral question

Recommendations

Specific, practical, and tied to the findings

Limits

Cultural and language fit of the norms used
What this assessment cannot say

Psychologist: ______________________________ Date: ______________

Template from PsychologyOrbit (https://psychologyorbit.com/templates/assessment-report). Free to print and adapt. No client names, phone numbers, CNIC or hospital numbers, or dates of birth.