Consent for Psychological Assessment – Be Kind Psychology
I consent to my child undergoing a psychological assessment with Be Kind Psychology. I understand that this assessment is being conducted to explore my child’s developmental, cognitive, emotional, or behavioural profile. It may involve evaluating for conditions such as Autism, Attention-Deficit/Hyperactivity Disorder (ADHD), learning differences (e.g. dyslexia), intellectual disability, or global developmental delay. I understand that this process may or may not result in a formal diagnosis.
I understand that the assessment may include parent interviews, direct observations (e.g. ADOS), developmental history-taking, mental health screening, questionnaires, cognitive or educational testing, and other standardised measures, as appropriate.
I understand that the scope of the assessment is based on clinical need and agreed in advance. While preferences are considered, the final decision on the type and depth of assessment rests with the Lead Clinical Psychologist. The Autism assessment may or may not include cognitive testing, depending on my child’s profile and clinical presentation.
I confirm that I have read the information provided prior to booking, including the Fees & Payment Policy, and I understand what is included in the service. I accept that the quoted fee covers the assessment agreed and cannot be altered once commenced.
I understand that this assessment is conducted for the purpose of identifying or ruling out specific neurodevelopmental or psychological conditions. It is not a treatment or therapy service unless otherwise agreed in advance. Any recommendations will be based on presenting concerns and the assessment scope as agreed.
I understand that diagnostic conclusions are based on the professional judgement of the clinicians involved, informed by the data collected. A specific outcome or diagnosis cannot be guaranteed.
I acknowledge that Be Kind Psychology provides professional psychological assessments in line with evidence-based standards. Its clinicians, employees, and contractors are not liable for decisions or outcomes arising from the assessment process, including those relating to education, legal, or therapeutic matters.
I understand that relevant case information may be discussed within the clinical multidisciplinary team to support diagnostic formulation and ensure best practice.
I understand that Be Kind Psychology aims to complete the assessment and issue a written report within a reasonable timeframe. This may vary based on assessment complexity, the availability of collateral information (e.g. school input), and the level of clinical interpretation required.
I understand that school or preschool input may be requested via questionnaire. I consent to this input being considered and included in the final report. I understand that school observation is not included as standard and may involve additional cost if required.
I consent to the secure collection, processing, and storage of personal, developmental, and clinical data in line with GDPR. I understand that information will remain confidential unless required by law or in cases of safety concerns.
If significant concerns about safety or wellbeing arise during the assessment, I understand that this information may be shared with appropriate services in line with safeguarding responsibilities.
I understand that if the ADOS is used during the Autism assessment, the session may be video-recorded for internal clinical review. I consent to this, and understand recordings will be stored securely and deleted once the diagnostic process is complete.
I consent to parts of the assessment process being conducted via secure video call, where appropriate.
I understand that the full assessment fee must be paid in advance. If I cancel the assessment with less than five working days’ notice, I understand that no refund can be provided. A €250 administration fee applies to any cancellations prior to this point. Once the assessment has begun (including background interview or form review), fees are strictly non-refundable.
I consent to being contacted by Be Kind Psychology via email or phone for scheduling, feedback, and report delivery.
I understand that participation in the assessment is voluntary and that I may withdraw at any time. I also understand that withdrawing after the process has started will not result in a refund.
I release and hold harmless Be Kind Psychology, its employees, contractors, and agents from all claims or liabilities arising from the assessment process or its outcomes.
By signing below, I confirm that I have read and understood the above information, and I give my informed consent for my child’s psychological assessment with Be Kind Psychology. I understand that I may contact the clinic at info@bekindpsychology.ie if I have any questions.