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Evaluations

Call today for your Free Consultation prior to coming in for a full Evaluation.

Full Evaluations Include the following:
  • Standardized Interview  

    • Demographic Information Gathered
    • Alcohol and Drug Usage History
    • Family/Social Support History
    • Medical History
    • Psychological-Emotional History
    • Legal History
    • Educational History
    • Employment History
    • Sexual History
  • Domestic Violence Screening Tool

  • Substance Abuse Subtle Screening Inventory III (SASSI 3)

  • Michigan Alcoholism Screening Test (MAST)

  • Family Genogram

  • Present Problem List

    • Includes Strengths and Limitations

  • Consents: Release of Information filled out and signed

  • HIV/AIDS information obtained and signed

  • Confidentiality Rule Form CFR42 Signed

  • HIPPAA Regulations Form signed as being offered or received

  • Insurance Information Gathered and Benefits Obtained

Each Evaluation lasts up to one and one half hours.  The individual will be given recommendations following the evaluation.


As a courtesy letters of participation and recommendation will be sent to whomever is in need of acknowledging your attendance. 

Contact me Today to schedule or inquire for an evaluation:

785-845-5416 or jlees@topekatherapy.com

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