Natalie Novick Brown, PhD Northwest Forensic Associates, LLC 425-275-1238 drnataliebrown@gmail.com DISCLOSURE and INFORMED CONSENT FOR FORENSIC PSYCHOLOGICAL EVALUATION SERVICES Licensed psychologists are required by state law to provide information about their practices to prospective clients such as yourself, including information about your responsibilities as a client, procedures to be followed if you have a complaint, background information about the provider, and information regarding fees. The law requires that both client and psychologist sign a statement such as this to document that it has been read and explained. As a consumer of psychological services, you have many protections. Psychologists are licensed by the State of Washington after having completed specific educational requirements, including a doctoral program from an accredited institution, post-doctoral supervised training, and the passing of both a written national examination and oral examination administered by the Washington State Examining Board of Psychology. Only those who are licensed can refer to themselves as “psychologists.” Licensure I am a licensed psychologist in Washington State. I also am a licensed psychologist in Florida. I received my PhD in clinical psychology from the University of Washington in 1994 and became licensed as a psychologist the following year. I conduct forensic psychological evaluations, specializing in parenting and child development, competency, sex offender risk assessment, child abuse, and fetal alcohol spectrum disorder and other developmental disabilities. I am a Clinical Assistant Professor in the School of Medicine’s Department of Psychiatry and Behavioral Medicine at the University of Washington. Confidential Communication Therapy All information disclosed within therapy sessions is confidential and may not be revealed to anyone without written permission except where disclosure is required by law. Disclosure will be required in the following circumstances: where there is a reasonable suspicion of child abuse or a reasonable knowledge of elder or dependent adult physical abuse, where there is a reasonable suspicion that the patient presents a danger of violence to others, or where the patient is likely to harm herself/himself unless protective measures are taken. Disclosure may also be required pursuant to a court order. I will inform you if conditions for disclosure arise. The psychologist shall clarify any limits to confidentiality between a minor and legal guardians. Forensic Evaluation It is important for you to understand how confidentiality protections differ between the therapy context versus the forensic evaluation context. The goal of forensic evaluation is Disclosure/Informed Consent Page 1 of 5 to provide information to the requesting party (e.g., attorney, agency, or court) who has solicited information about how you, your child(ren), or your ward functions psychologically. The evaluation itself usually consists of at least one face-to-face interview and psychological testing, telephonic interviews with collateral individuals, and review of relevant documents such as court records, depositions, transcripts, medical records, and other materials. I also will review any additional materials that you think are relevant and important. In most cases, a forensic evaluation is intended for use in some type of legal proceeding. Thus, in the forensic context, you are consenting to different rules of confidentiality where disclosure and evaluation results are determined by the rules of the legal system. If your attorney has requested this evaluation, he/she will receive a copy of my report, if a report is requested. The results are typically protected under attorneyclient privilege. If this is a court-ordered psychological evaluation because you have been charged with a crime, the results typically go to your attorney, who then provides the report to the court and prosecutor. There are fewer legal protections in this context as typically there is no confidentiality or privilege. Anything you say (or that others say about you) may end up in my report. The court “owns” the report, and I have no authority over it once it has been submitted. If this is a court-ordered or stipulated parenting evaluation, the results (including all of the information I have relied on) are not protected. My report will go to counsel for both parties and to the guardian ad litem (if one is involved). I no longer have authority over the report once it has been submitted. You may request to your attorney that my report be “sealed” to increase your protections. I am not involved in that process. If the matter in which you are involved involves criminal allegations, charges, or past convictions, and/or civil commitment, or community registration, it is very important for you to understand that anything you say to me and all other information in my record of your services may be used against you in legal proceedings. (Legal proceedings usually fall into administrative, civil, or criminal matters. If you do not understand the differences, please consult with your attorney.) Access to Records A record is kept of the health care services provided to you. You may want to see and copy that record. You also may ask to correct that record. You may see your record or get more information about it by putting your request in writing and submitting it to my office. A response to your request will be made within 15 working days in compliance with RCW 70.02.080. Access may mean an appointment to review your record in person. Justifications for denial of your request to access records include: the request may result in the possibility of injury or harm to the patient, the request may reveal the identity of a person who provided information in confidence, or the disclosure may endanger others. Patients may be charged a fee for copying the record, and a fee also may be charged for search, editing, and copying. We may collect the fee before releasing the records. I will not release information in my files regarding you to anyone unless instructed to do so by you (and the other party, if this is a parenting evaluation) or ir ordered to do so by a Disclosure/Informed Consent Page 2 of 5 court or administrative body of competent jurisdiction. If you have any concerns about the use or distribution of my report and related information, you should discuss these issues carefully with your attorney. Voluntary Participation Your participation in psychological services and/or evaluation, including the decision to answer any questions, is voluntary. I will not provide psychological services to you without your signature on this document. You have the right to stop my services at any time or refuse to answer any questions. There may be legal consequences if you stop a court-ordered evaluation or refuse to answer some of my questions; therefore, it would be in your best interest to consult with your attorney beforehand so that you understand the potential consequences. Financial Requirements My hourly fee for forensic evaluation is $250 ($225 for local cases); my hourly rate for psychological consultation or therapy is $200. Usually, I receive a retainer in advance of performing any professional work in a case. The retainer for one-party psychological forensic evaluations is $5,000; the retainer for parenting evaluations is $7,500. The retainer for psychological consultation or therapy is $1600. The retainer may not cover all of the cost of the services. If you have financial constraints, please discuss this with me at our first session, and I may make an adjustment. If funds are depleted in your retainer, I reserve the right to terminate services at that point until such time as funds are replenished. Fees are based on the amount of time that psychological services are rendered to the patient, to members of the patient's family or relevant others, or in consultation with anyone regarding the designated patient. Fees may include interviews by phone or in person, psychological testing/scoring/interpretation, email correspondence or phone contact with you, consultation with others (e.g., counsel), collateral interviews with relevant others, record review, report writing, responding to court orders regarding your case, and/or testimony and testimony preparation. Psychotherapy sessions typically last 50 minutes. Each appointment is held exclusively for you. If you must cancel, leave a message at least two days in advance. If you cancel later than this, you may be charged for the full amount of the session. Payment of retainer is expected by cash or check at the time of service. I do not bill insurance carriers, and most do not cover psychological testing, consultation, or any other forensic services. Your insurance company may or may not reimburse you for my services, but it is up to you to apply for reimbursement. After you have submitted an initial retainer, you may request that we bill you monthly. We bill in 15-minute increments and round up or down to the closest interval (e.g., a 20-minute phone call would be billed at the 15-minute rate; a 25-minute phone call would be billed at the 30minute rate). Complaints Complaints regarding my adherence to ethical standards may be addressed to the Washington State Department of Health, Examining Board of Psychology, 1300 Quince Street SE, Olympia, WA, 98504-7869. If you have a concern or complaint, the phone number is 360-236-4910. Disclosure/Informed Consent Page 3 of 5 Electronic Data Electronic transmissions (including but not necessarily limited to phone, facsimile, and electronic mail) may be involved in this matter and may refer to you or your child or ward. You should be aware that there are risks to privacy and limits of confidentiality involved in such transmissions. Telephone calls may not be private (e.g., I may need to leave a message in regard to you on a voicemail that may not be confidential), emails or facsimiles may be copied and held by various computers or machines as it goes from sender to recipient, and, in addition, such communications may be intercepted by persons improperly accessing the transmissions. I will only use electronic communications with you if you agree to accept these risks. Please initial here that you would like to grant permission to use electronic communications:_____ Interim Reports I will not provide interim reports that precede full analysis of all important issues in a case. I will provide an addendum to my report in the event of new information that I receive after my report has been submitted, if the new information materially changes my opinion. Testimony Once a decision has been made to use any report generated as a result of this evaluation in a legal proceeding, the report and any other information that was provided, obtained, and/or created about your mental health and functioning or that of your child or ward may be admissible into evidence (including the possibility of any past reports or records, if any). If I am asked to testify about an evaluation I have conducted, all information pertaining to your evaluation may be disclosed. If, at any time, you have a question about any aspect of the evaluation or these procedures, please feel free to ask me. In addition, if at any time you need a break from an interview or testing, please let me know and we will stop. Once the evaluation is completed, and with the permission of the requesting party (if other than yourself), I may be able to have a meeting with you to explain the results and answer any questions you might have. Additional Risks Psychological evaluation or therapy often feels intrusive in that it involves questions regarding psychosocial history (which may include sexual behavior in pertinent contexts), current mental status, current level of support from significant others, marital satisfaction, family background, and your psychological well-being (as well as that of your family). The evaluation process and the discussion of life experiences can be emotionally distressing. Most people go through the process without difficulty. While it is unlikely, you might experience one or more of the following as a result of our work together: depression, frustration, anger, disappointment, stress, grief, interpersonal difficulties, conflict with loved ones, temporary impairment in daily functioning, temporary sexual dysfunction, anxiety or panic, alteration of emotional well-being, or triggering of traumatic memories, especially those involving physical or sexual abuse/trauma. This is not an exhaustive list and you may experience other feelings. I/We understand the nature and purposes of these psychological services, including the associated risks. I/We understand there is no certainty that I/we will achieve any Disclosure/Informed Consent Page 4 of 5 benefit from these psychological services. I/We have been fully informed of the risks and I/we freely assume them. I/We agree to participate in these psychological services and in all of the testing that might be conducted during the process. A copy of this form is as valid as the signed original. _____________________________ Printed Name: _____________________________ Printed Name: _____________________________ Signature: _____________________________ Signature: Date: ________________________ Date: ________________________ ____________________________ Dr. Natalie Novick Brown: Date:________________________ Disclosure/Informed Consent Page 5 of 5