Psychological Testing Referral Form
Psychological Assessments are conducted by a Licensed Psychologist. Please request your PCP or provider fill out the referral form. Referrals should come for a provider.

Psychological assessment and testing also often thought of as a mental health test typically begins with a clinical interview to clarify the “presenting issue” and to gather background information, such as: the family history; medical and psychiatric information; substance use; and education and employment information.

Psychological evaluation also commonly includes one or more educational and/or psychological mental health tests. The mental health tests may be computerized, activity-based, or paper & pencil tests. Several sessions may be required to complete a psychological evaluation.

  • If you are interested in a individual therapy, please fill out our New Client Form.
  • If you are doing a referral for Comprehensive Community Services, please have your service facilitator fill out our CCS Pauquette Referral Form
  • If you are interested in our DBT Comprehensive Program, please go to that service page and fill out the appropriate referral form. 

If you have any questions or issues with the form, please call 608-356-9055 or email info@pauquette.com.

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