Regional Assessment and Resource Centre

Regional Assessment and Resource Centre

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RARC MAT Forms: 

Choose the appropriate form for the school you are attending.  Check with your accessibility office for the type of assessment you require.  If you are a self -referral, or you are unsure what type of assessment you require, complete the form for the Psychoeducational (PEA) Assessment.  If your school is not listed, complete the appropriate "Generic Financial Contract"  under "Supplementary Forms".  If you require further information, please contact rarc@queensu.ca.
RARC Schools
Schools served by RARC Clinicians:  Georgian College, Loyalist College, Queen's University, St. Lawrence College, Trent University
Georgian College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Owen Sound:  Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Owen Sound:  Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Owen Sound:  Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Loyalist College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Queen's University
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
St. Lawrence College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Trent University
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Mobile Assessment Team (MAT) Schools
Schools Served by Mobile Assessment Team (MAT) Clinicians (and who use specialized forms): Durham College, George Brown College, Humber College, Ryerson University, Seneca College, University of Ontario Institute of Technology (UOIT), York University
George Brown College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Humber College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Ryerson University
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Seneca College
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
University of Ontario Institute of Technology (UOIT)
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
York University
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
Supplementary Forms
All assessments require you to complete the Late or No Show Form, the Checklist and Financial Contract, and the RARC-Q (PEA and ASD assessments) OR the Head Injury Questionnaire (HI-Q) for Neuropsychological Assessments.  Further details can be found in the Referral Information sheet and the Obtaining Documentation sheet.
Head-Injury Questionnaire (HI-Q)
Generic Financial Contracts
Psychoeducational (PEA) Assessment Checklist and Financial Contract:
Neuropsychological (NEURO) Assessment Checklist and Financial Contract:
Autism Spectrum Disorder (ASD) Assessment Checklist and Financial Contract:
 
Late or No-Show Form
Referral Information Sheet
How to Obtain Documentation (report cards, previous assessments, transcripts etc.)