• Assessment Request 


    Welcome to the Julia Ryan Psychology Assessment Process

    This is a short request form — about 10–15 minutes. It helps our clinical team understand your needs and confirm we're the right fit before you complete the further intake steps. 

    You'll hear back within 1 week. If we're a good match, we'll send the full intake paperwork and instructions for securing your spot. We're currently booking in 3-6 months depending on the nature of the request and varying clinician availability.

    Assessments are currently open for {ageRangeString}

  • Instructions

    We value your privacy and take active measures to protect the Client's personal health information. Due to these protective measures, your progress is not automatically saved. Your progress will be lost if you exit this webpage before submitting.

    Please read this information carefully to make sure that you understand it. 

    Contact Us
    If you have any questions about this form, we encourage you to reach out to us.

    You can contact the clinic at 613-699-0825 or admin@drjuliaryan.ca if you have questions about the information in this form while completing it.

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  • [H] Form time tracker widget
  • [H] Is Client 50+ km from office?
  • [H] Date today
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  • [H] CLIENT AGE

  • [H] Is Client in valid age range?
  • [H] CLIENT TEXT / STRINGS

  • [H] CLIENT LANGUAGE

  • [H] Is Client nonverbal
  • [H] Is Client's native language English?
  • [H] Is Client fluent in English?
  • [H] INSURANCE

  • [H] Direct billing requested?
  • [H] Telus eClaims form status
  • [H] FILE UPLOADS

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  • Overview


    What to expect
    Our comprehensive psychological assessment ("assessment") evaluates a person's mental health and learning profile to identify strengths, needs, required supports, and any applicable diagnoses.

    An assessment typically involves:

    • Review of prior assessments or other documentation
    • Intake and clinical interviews
    • Administration of standardized tests (such as measures of intelligence, memory, and attention) and questionnaires
    • Gathering information from other sources (through collateral interviews, prior documentation, or forms)
    • Other information gathering that may be needed
    • Discussion of results
    • Report with results and recommendations

    Assessments may therefore include psychoeducational, developmental, and mental health components. 

    Each assessment is individualized to a client's presenting issues and goals for the assessment. 

    The steps above often involved several in person meetings and testing appointments. Our workflow typically spreads these appointments out over a couple of weeks. We then take time to score, review, and conceptualize the results before inviting you to a meeting to discuss the results.

    The process typically takes 8-12 weeks from the intake meeting to receiving the report.

     


  • Overview


    Assessment Team

    Assessments at our clinic are completed by registered psychologists and psychology trainees working under supervision, with clinicians at varying levels of training and experience depending on the type of assessment and the needs of the Client. Every assessment is overseen by a registered psychologist responsible for clinical decision-making, interpretation, diagnosis (when applicable), and the final report.

    Every clinician on our assessment team is personally trained and supervised by Dr. Ryan, who reviews the work across the practice to ensure consistency, clinical quality, and a high standard of care. The expertise our clinic is known for runs through the whole team — so whichever clinician you work with, you're accessing care shaped and overseen by Dr. Ryan.

    Most families are matched with a member of our assessment team and are able to begin sooner and at a lower cost. Dr. Ryan also takes on a limited number of assessments directly; you're welcome to request her, and many families happily do, but because her availability is limited this usually means a significantly longer wait. We note and honor clinician preferences wherever we can, and match every family through the same review process — based on needs, preferences, availability, and fit — rather than through a separate waitlist or guaranteed booking.

    Dr. Ryan personally reviews all incoming requests to determine the best-fitting clinician and pathway for each family. In this form, you're invited to share what matters most to you — earliest availability, lowest cost, or working with a specific clinician — and we build the match from there.

     


  • Overview


     

    Psychometrists

    Some of our clinicians, including Dr. Ryan, utilize psychometrists for the testing portion of an assessment; others conduct their own testing. Both are legitimate, high-quality approaches. Psychometrists are highly trained clinicians who specialize in the standardized administration of assessment tools and provide a consistent, attentive, and supportive testing experience.

    Where this model is used, it's intentional and reflects an approach common in hospital and multidisciplinary settings: the psychometrist brings precision, consistency, and strong behavioural and diagnostic observation to the testing sessions, while the psychologist focuses on interviews, interpretation and integration of information, case conceptualization, diagnostic decisions, individualized recommendations, and communicating results and diagnoses.

     

  • LANGUAGE

    Our diagnostic tests are standardized for English speakers. Administering them to a Client who is not fluent in English, or attempting to translate questions during the assessment, compromises the clinical validity of the results.

    As a result, we cannot guarantee accurate findings for Clients who are not fluent in English. 

    Further, we no longer carry materials to test academic functioning in French. Our assessments are usually not suitable for those attending school in French primarily.

    To ensure every Client receives a reliable psychological assessment, we currently limit our assessment services to primarily English-speaking Clients who attend school in English. We apologize for the inconvenience.

    We recommend our colleagues at this clinic for assessments in French: NPSCSPN.

  • Fees and Payments


    The fees at Julia Ryan Psychology vary by clinician and service.

    For Assessment Services

    Assessments completed by psychologists are charged hourly and vary in cost depending on the presenting issue and the measures required, ranging from $3500 to $5000. 

    In some cases, a student, trainee, or supervisee may be leading the assessment at a reduced fee ($2500-$3500), which will be offered and communicated before beginning.

    Billable Fees

    All service fees apply to direct client contact, as well as non-contact clinicial work such as writing reports, scoring tests, consulting with other professionals, and completing forms. 

    Payment

    To keep our billing process consistent and efficient, we use credit card payment only for all services. For families with an eligible insurance plan, we also support direct billing to some insurance companies. For families with an eligible third party payor, we also accept direct payment. 

    We require a credit card on file for all clients.

  • Fees and Payments


    Payment does not mean Access to Information.
    Privacy legislation regulates who can access a Client's information and under what circumstances. If someone other than the Client or legal guardian is paying for service for a mature minor or dependent adult, they are not entitled to accessing the Client's health information including details about scheduled appointments, treatment plans, or clinical findings.

    Cancellations and Missed Appointments
    If the client cancels the appointment without 48 hours of advanced notice or does not show up, we will apply a late fee of 50% of the session fee. For in-person assessment sessions that are several hours, the client will be charged for the equivalent of two hours.

    Exceptions may be made for illness, quarantine/self-isolation, or other extenuating circumstances at the discretion of the clinic.

  • Fees and Payments


     

  • We are recognized with the Employee Assistant Program for Public Safety Canada. We may accept other third party funding. Please indicate below if you wish to pay for part or all of your services through EAP or third party funding:
  • Depending on your insurance policy or work arrangement, health insurance and employee assistance programs (EAPs) may not cover the entire cost of our mental health and psychological assessment services.

  • Your Information (Submitter)


     

  • Who are you submitting this assessment request for?*
  • What is your relationship to the Client?
  • Format: (000) 000-0000.
  • Is this a reassessment for a client who was previously assessed at our practice?*
  • How did you hear about Julia Ryan Psychology?
  • The Client: who the assessment is for


    Throughout this form, the individual to be psychologically assessed will be referred to as the Client.

    The information below will be used to create the Client's official file. Please enter the details (name, date of birth, etc.) for the individual who is receiving the services.

    If you are submitting this form for someone else, do not use your own name or date of birth in these "Client" fields. Doing so will create an incorrect file and will require us to resend the form for correction.

  • Client's date of birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Ineligible Age


    Unfortunately, due to high demand and long wait times for certain ages, our assessment intake is currently only open to individuals who are {ageRangeString}. Assessment intake submissions are closed for individuals outside of this age range and you will not be able to complete or submit this form.

    If the Client is within this age range, please verify that you've entered the correct date of birth above (Format: Day-Month-Year).

    We apologize for any inconvenience this has caused.

    Referral links

    Here are clinics in Ottawa offering psychological assessment services that we recommend:

    • Patchwork Psychology (ages 5 and under)
    • Centre Dimensions (ages 5 and under)
    • Jeremy Doucette (all ages)
    • Ivanova and Associates (adults)
    • Melodie Lemay-Gaulin (virtual only, adults)
    • NPSCSPN (lifespan, French included)
    • Dr. Kathleen Metcalf (adults)
  • The Client: who the assessment is for


     

  • Format: (000) 000-0000.
  • Sex assigned at birth*
  • Gender identity*
  • Preferred pronouns*
  • Which racial or ethnic category(ies) best describes the Client? Select all that apply
  • School/Work: Please select all those that apply currently
  • Custody, Guardianship & Consent


    We have determined this section does not apply for you, please go to the next page.

  • Custody, Guardianship & Consent


    Why we ask: When seeking mental health services for a child, we need consent from everyone who holds legal decision-making authority for the Client. "Custody" here means legal medical decision-making rights — which isn't always the same as who the child lives with. Getting this right up front prevents delays later.

     

    If your family situation is complex and this policy does not fit well with your circumstances, we encourage you to contact us before completing this form so we can discuss your situation and determine whether our clinic is the right fit. You can reach us at admin@drjuliaryan.ca or 613-699-0825.

  • What is your current relationship status with the Client's other parent?*
  • Is the Client adopted?*
  • Is the Client currently in society care?*
  • Is the Client currently with a guardian other than their birth parents?*
  • Do you have sole legal custody of the Client or do you share joint legal custody with the other parent?*
  • Consent from all legal guardians or custodial parents is required

    Where more than one adult shares guardianship or custody of a child, all parties have a right to consent to or deny the service.

    We will ask for the name and contact information of a second parent/guardian for all clients under the age of 16 to ensure both parents/guardians have the opportunity to be aware of and/or participate in the services. 

    We will email the other legal custodian once your assessment request is submitted so they are aware of your request and have the opportunity to contribute.

  • Other legal guardians

    We will ask for the name and contact information of a second parent/guardian for all clients under the age of 16 to ensure both parents/guardians have the opportunity to be aware of and/or participate in the services. 

    We will email the other legal custodian once your assessment request is submitted so they are aware of your request and have the opportunity to contribute.

  • Format: (000) 000-0000.
  • Mature Minors and Dependent Adults


    We have determined this section does not apply for you, please go to the next page.

  • Mature Minors and Dependent Adults


    Seeking services for a dependent

    When you're seeking services for someone in your family — a child or another person you care for — a few things simply work a little differently depending on the person's age and capacity.

    We want to partner effectively with the caregivers in a client's life, and we'd like to make sure now that you are aware of some of the important considerations for dependents who are of an age to make their own decisions about their care.

    What to expect

    From around age 12, and certainly by 16 and older, the person receiving services is expected to be actively involved in their own care. This includes:

    Consent for the service and different aspects of it
    Agreeing to who gets to be involved
    Deciding how information about them is collected from others and shared
    This doesn't mean we set parents and caregivers aside. In these cases, families and caregivers are usually central to a Client's life, and their involvement often strengthens the work. We aim to collaborate with clients and their caregivers together, because we know outcomes are stronger when the people who support a client are part of the work.

    For ages 12 to 16, we strongly encourage parents and youth to attend the intake meeting together. For ages 16 and older, the client completes their own intake forms and attends their own intake meeting, with caregiver involvement welcome and encouraged wherever it's supportive. That includes this form and subsequent intake forms and intake meetings - clients age 16yo+ should participate in completing this form if possible; at minimum they must be aware of the request and the information you are sharing, but where possible

    As services unfold, the clinician helps guide ongoing decisions about caregiver involvement and information sharing depending on the client needs, service goals, family dynamics and family logistics. This will look different for each client; there is no one size fits all, but the one thing that stays stable is that our clinicians support Client autonomy and decision-making processes with their best interest in mind, which includes recognizing the importance of families and planning carefully for caregiver involvement.

    We respect the role of caregivers, and we also respect the client's right to decision making. Where joint meetings or collaboration among clients and their caregivers may be difficult or challenging, we consider how best to include everyone in a manner that respects the client's autonomy and the important role of caregivers. 

    We do not force or coerce clients to participate in services, to work on specific goals that they do not buy in to, nor to share information with us or with others they are not comfortable sharing. We also do not withhold information about them from them; the information gathered about a client — in this form, and in later intake forms and meetings — is available to them. This means clinicians cannot hold information received from caregivers in confidence from the client. These boundaries are required by law. They protect the client's autonomy, which builds their trust in us and ultimately supports more effective services.

  • Youth and adults ages 16yo+ make their own decisions about assessment and must be the ones to consent and participate, including for this request. A caregiver or partner is welcome to help, but the Client needs to be actively involved in this request.*
  • Please contact us at 613-699-0825 or admin@drjuliaryan.ca before completing the form to discuss this

  • Eligibility

  • Residency Requirement


    We are only licensed to serve residents of Ontario, or Quebec if they can travel to our office in Ottawa. If you are not a resident of either province, we cannot administer a psychological assessment to you or your dependent.

  • Are you an Ontario or Quebec resident?*
  • Client's primary address*
  • Your distance from Julia Ryan Psychology


    It looks like you live 50 kilometers or more from our office; please be mindful that certain steps in our our assessment process require in-person attendance.

    If you'd like to inquire further before proceding, please email admin@drjuliaryan.ca

  • What is the Client's native or primary language?*
  • What languages, besides their primary language, is the Client fluent in?*
  • Sorry, we cannot support this assessment. Our current assessment measures are in English. It is crucial that client being assessed consider themselves fully comfortable in English. Otherwise, results may be invalid and the findings from the assessment will be affected. Please consider Connections Psychology, CAFCO-CEAFO or Neuropsychological and Psychological Services for your assessment needs.

  • List any other languages the Client can understand at a basic level
  • Reason for seeking assessment

  • Have there been prior professional assessments (psychology, OT, speech, etc)?*
  • Please start to gather copies of these prior assessments as we will be requesting them. Likewise, children, youth and adults alike will be asked to submit copies of their report cards to support a review of academic history. You should also begin gathering those at this stage.

  • Did you receive a referral for this assessment from another health care professional (doctor, therapist, OT, etc)?
  • Is the above named individual involved in ongoing care?*
  • Do we have permission to contact this individual to coordinate care?*
  • Important Information

  • Format: (000) 000-0000.
  • Please pick among these options for any additional reasons for seeking assessment:*
  • At Julia Ryan Psychology, an assessment brings clarity: a deeper understanding of the Client's strengths, needs, and how they learn and function. For many families that understanding is genuinely powerful.

    An assessment is an open question: We gather information and follow it where it leads — sometimes that means a diagnosis you were expecting and/or a diagnosis you were not expecting; sometimes a clearer picture of strengths and needs without a formal diagnosis, and/or areas to monitor and assess further in the future. All are valid, useful outcomes, and we can't promise a particular result in advance; findings can sometimes be unexpected.

    Our assessments also identify tailored recommendations for next steps, incluing professional supports for intervention, accommodations for school or work, suggestions for personal wellbeing and for supporting functioning at home.

    An assessment is not itself treatment — it identifies what's happening and what would help, but the work of change comes after. 

    Further, a report informs schools, workplaces, and other providers; it does not obligate them. Schools, workplaces and other providers follow their own processes for accommodations and support, and a strong report strengthens their understanding but does not guarantee a particular outcome.

    We help you prepare to advocate, but we can't control what a school, workplace, or another provider ultimately decides.

    In some cases, we are able to offer follow up care with someone on our team to help implement the recommendations or provide intervention services. This ultimately depends on the needs and provider availability at the time.

  • Some of our clinicians, including Dr. Ryan, utilize psychometrists for the testing portion of an assessment; others conduct their own testing. Both are legitimate, high-quality approaches. Psychometrists are highly trained clinicians who specialize in the standardized administration of assessment tools and provide a consistent, attentive, and supportive testing experience. Do you agree to the use of psychometrists?*
  • Date*
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