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RESOURCES

Everything you need to take the next step.

For clients, families, and attorneys. Answers to common questions about the evaluation process, what to expect, fees, and how to get started.

FORMS AND DOCUMENTS

Everything that moves through the process.

All forms delivered via secure Dropbox Sign upon referral acceptance. Nothing requires a printer.

How forms are sent: Once a referral is accepted, ILORA sends the client intake package via secure, HIPAA-compliant Dropbox Sign link alongside the invoice. All forms must be signed and payment received before the evaluation is scheduled.

CLIENT INTAKE PACKAGE

Sent to the client upon referral acceptance

Informed Consent for Psychosocial Evaluation

Purpose, confidentiality, HIPAA rights, payment terms, and client acknowledgment. Must be signed before scheduling.

REQUIRED

PREVIEW

NOTICE OF PRIVACY PRACTICES

Explains how ILORA uses and protects your health information and outlines your rights under HIPAA. Acknowledgment of receipt is required at intake.

REQUIRED

PREVIEW

Client Intake and Background Form

Personal information, family and immigration history, medical and mental health background, and current functioning.

REQUIRED

PREVIEW

TELEHEALTH INFORMED CONSENT

Covers the telehealth format, technology requirements, what happens if the connection fails, emergency protocol, and geographic licensing confirmation. Must be signed before the evaluation is scheduled.

REQUIRED

PREVIEW

Authorization for Release of Information

Authorizes ILORA to share the completed evaluation report with the referring attorney. One form per authorized recipient.

REQUIRED

PREVIEW

MINOR CLIENT ADDENDUM

Required when the client is under 18. Includes parental or guardian consent and a minor assent section written in plain language. Supplements the standard intake package.

REQUIRED

PREVIEW

Waiver of Interpreter Services

Client confirms fluency in the language of evaluation and waives the need for a professional interpreter. Signed by the client.

IF NO INTERPRETER NEEDED

PREVIEW

Interpreter Services Agreement

Confirms interpreter fee, payment terms, and client agreement to pay directly. Sent only after the fee is confirmed in writing.

IF INTERPRETER IS NEEDED

PREVIEW

FOR IMMIGRATION ATTORNEYS

Reference documents provided at the time of referral

Immigration Evaluation Consent and Service Agreement

Full terms of service, fee schedule, confidentiality, and client authorization.

PROVIDED AT REFERRAL

PREVIEW

Immigration Evaluation Fee Schedule

All evaluation fees, add-ons, court testimony, and interpreter policy. For attorney reference.

PROVIDED AT REFERRAL

PREVIEW

COURT TESTIMONY AGREEMENT

Outlines testimony fees, travel policy, cancellation terms, and the scope of Dr. Augustin's testimony. Must be signed and retainer received before any testimony date is confirmed.

WHEN TESTIMONY IS REQUESTED

PREVIEW