Test Results Record Form

Test Results Record Form
Name _________________________________________________________ ID# ___________________________________________
Date ________________________________ Test(s) given ________________________________________________________________
Misc. demographic information _____________________________________________________________________________________
PAR test items and related materials are copyrighted and protected intellectual property. Test results that can be retained and
displayed in a medical record include item, scale, subscale, and total test scores; professional evaluations and observations; and
overall related test findings and conclusions. Test content is prohibited from inclusion in a medical record. Please use this form to
record test results in lieu of an answer sheet or item booklet, which might compromise the integrity of the measure.
Scale/subscale scores
Summary/total scores
Additional information
Notes and comments
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