• Schedule a Documentation Evaluation

  • This secure form is used to request a one-time psychological evaluation for documentation purposes (e.g., FMLA, disability, or accommodation letters).

    This service does not establish a therapeutic relationship and does not provide ongoing therapy, crisis intervention, or emergency support.

    Please answer all questions carefully. Requests that do not meet eligibility criteria will not be scheduled.


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  • Format: (000) 000-0000.
  • Are you currently located in California?*

  • Services are limited to California Residents.

  • What type of documentation are you requesting?*
  • Do you already have the form that needs to be completed?*

  • Evaluations cannot proceed until required forms and instructions are provided.

  • When do you need the documentation completed by?*

  • If you are experiencing a mental health emergency, please call 988 or go to your nearest emergency room.

    Full Vida Therapy provides evaluation-only documentation services in accordance with ethical and legal standards for mental-health practice in California.

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