Immigration Evaluation Appointment Request Form
Please complete this form to request an immigration evaluation appointment. Our clinicians are able to provide the in depth psychological assessments that might be required as individuals navigate immigration proceedings within the United States. We will work closely with you, your attorneys and any other significant individuals to provide a full comprehensive assessment of your specific case. Full evaluations may occur over a span of 2-4 sessions. Reports are typically 8-10 pages and are completed within 14 business days. Expedited services and interpreting services are available at an additional cost. Please contact us at admin@theclaritycouch.com or 216-245-8249 with questions. Base Fee $800
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Email *
Full Name *
Full Address
Client DOB *
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DD
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YYYY
Phone number *
Type of Evaluation *
Will you need interpreting services? (additional costs) *
Do you prefer a virtual or in-person evaluation? *
What is the best way to reach you? *
Are you working with legal counsel? *
Attorney Name and contact information
Please include any additional pertinent information below.
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