Psychological Evaluation & Consultation Services: Instructions for Primary Clinicians
Before making a referral, make sure that the family is in agreement and has consented.
Completely fill out the Kalamazoo RESA Psychological Evaluation Referral form and forward to the appropriate KCMHSAS School-Based Liaison assigned to your consumer’s school.
School-Based Team meets every other Thursday and will review new referrals at that time. Dispositions will be communicated by the School-Based worker to the Primary Clinician.
If the referral is approved, it is the primary clinician's responsibility to gather all relevant information and forward to Dr. Roger Apple at Kalamazoo RESA either by mail or fax. Documents should include:
Primary Assessments: Initial, updates and most current
Current Plan of Service
Any previous psychiatric evaluations: Initial, most recent annual and most recent medication review notes.
If the referral is approved, it is the primary clinician's responsibility to request the authorization from the Access Center: Program Code: 7491 Kalamazoo RESA
H0002 (Brief Assessment)
96101 (Psychological Testing)
90801: AH (Assessment by Psychologist/School Observation