Application

If you are interested in an assessment through Swanson and Associates, please complete this form

Please note that submitting this form does not guarantee an assessment, or placement on a waitlist. If we feel that we may be able to fill your needs, we will attempt to contact you to discuss next steps, and discuss pricing and waitlist times. Every assessment is tailored to meet the client’s specific needs, and as a result, our pricing is designed to accurately reflect this personalized approach.

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Thank you for your inquiry

*** Unfortunately, at this time we have limited capacity to accept private referrals unless they are associated with an organization (e.g., Jordan’s Principle, a school, a First Nations band or other governmental organization).

Your Name

Your Relationship to the Potential Client

The Potential Client’s Name or Initials

The Potential Client’s Age

The Potential Client’s School/Grade

The Best Email to Contact You

The Best Phone Number to Contact You

Are All Legal Guardians Aware of and Would Consent to an Assessment?

The Reason for Assessment – What Are You Hoping to Look at?

Any Previous Diagnoses, including any medical conditions?

Please List Any Professionals You Are Currently Working With

Will You Be Paying Privately, or Through a Third-Party Institution?

Other Concerns , Questions, or Information You Would Like to Share?

Who Referred You to Our Services?

Would you be interested in completing the assessment virtually*?

*Virtual assessment may be available to some clients who live outside of Kamloops, although there are additional requirements involved (e.g., high speed internet). Remote or virtual assessments are not available for autism assessments, given the nature of the diagnostic measures used.

Thank you for your inquiry. If we are able to meet your assessment needs, we will connect with you using the phone number or email address you have provided above. It may take up to a few weeks to respond, depending on the volume of inquires.