Thank you for your interest in a psychological assessment through our collaborative partnership.

Sapling Child & Family Therapy and AlbusMinds Psychology have partnered to provide families with a coordinated assessment experience. This intake form helps us understand you or your child's strengths, current concerns, and the reasons for seeking an assessment so that we can determine the most appropriate assessment pathway.

As part of this partnership, the information you provide will be securely shared with both Sapling Child & Family Therapy and AlbusMinds Psychology for the purposes of reviewing your referral, coordinating care, and planning the assessment process. Your information will be handled confidentially and in accordance with applicable privacy legislation and professional standards.

Please answer each question as thoroughly as you are able. If you are unsure about a question or do not have the information available, you may leave it blank or indicate that you are unsure.

Thank you for taking the time to complete this form. We look forward to supporting your family.

If completing for a child: please enter your child’s name and date of birth in the personal information section. Parents/guardians may be listed as the emergency contact.

If completing for yourself: please enter your own name and date of birth.

What are type of assessment and support are you currently seeking?

Child/Youth Assessment Screening

Areas of concern (select all that apply):

Adult Assessment Screening

Areas of concern (select all that apply):

Have these concerns significantly affected any of the following?

Please select all the professionals who are currently part of your circle of care:

Thank you for completing this intake form.

By submitting this form, you acknowledge that the information provided may be reviewed by both Sapling Child & Family Therapy and AlbusMinds Psychology as part of this collaborative assessment process.

Once we have received your form, a member of our team will introduce you to our psychology partners, AlbusMinds, via email. The team at AlbusMinds will contact you directly to discuss the assessment process, answer any questions, and coordinate scheduling.

Your intake information will be reviewed to determine the most appropriate assessment pathway based on your needs.

If you think of anything you would like to add in the meantime, or if your circumstances change, please don't hesitate to contact us.

We appreciate the opportunity to support your family and look forward to helping you through the next steps.