Free Initial Case Evaluation Form

Why fill out this form?

Our psychiatric evaluations and reports provide expert support for clients, courts and hearing panels. Please note this is not legal advice. The information you share helps us understand your needs and see if we’re a good fit. Completing the form doesn’t guarantee acceptance, but it’s an important first step toward exploring how we may assist with assessments, reports, and treatment if needed.

Instructions:

• Please complete all fields to the best of your knowledge.

• Select the appropriate options where available.

This form should take approximately 10-15 minutes to complete.

You didn’t come this far to stop.

Believe you can, and you're halfway there.

Theodore Roosevelt

Criminal Offenses

Motor Vehicle Offenses

• Animal cruelty

• Arson

• Assault and battery

• Burglary

• Child abuse or neglect

• Cybercrime

• Domestic violence

• Disorderly conduct

• Driving under the influence (DUI)

• Drug possession or distribution

• Embezzlement

• Fraud

• Gun-related offenses

• Harassment or stalking

• Human trafficking

• Driving under the influence of alcohol or drugs ("DUI", including Boating DUI)

• Driving while suspended or revoked

• Reckless driving

• Hit-and-run

• Vehicular homicide

• Other motor vehicle-related offenses

| Criminal cases >>

| Family matters >>

| Permits & licenses >>

| Motor vehicle cases >>

| Personal injury issues >>

• Kidnapping

• Murder and manslaughter

• Probation or parole petitions or violations

• Public Disturbance

• Prostitution

• Resisting arrest or obstruction

• Robbery

• Sex crimes

• Theft and larceny

• Trespassing or unlawful entry

• Vandalism

• Other felonies or misdemeanor infractions

Other Areas

Areas we consider most

In exceptional cases, we can also consider clients who seek voluntary psychiatric evaluations for other types of court cases or administrative hearings, including family law matters, permit and license applications, and personal injury claims.