Barcarse Psychological Services
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Requests & Concerns
Formally submit requests or concerns about your released psychological assessment reports.
Submitting as your account
Submit a Request / Concern
Client Family Name *
Given Name *
M.I.
Name of Parent / Guardian
Date of Assessment
Select date
SUN
MON
TUE
WED
THU
FRI
SAT
Contact Number
Nature of Request *
Request for additional copies of reports
A processing fee applies; you will be notified to proceed to payment.
Concerns about the report
Corrections or clarifications — no payment required.
My report isn't listed — it's an older / physical report
(issued before the online system).
We'll verify your identity and locate your report before processing your request.
Valid ID (required) — JPG, PNG, or PDF, max 5 MB *
Choose File
No file chosen
Required so we release your previous report only to you. Tip: also attach a photo of your physical report below to help us locate it faster.
How many copies? *
Specify the number of report copies you need (1–50). A processing fee applies per request.
Which released report is this concern about? *
Loading your released reports…
Your concern will be linked to this report and its case.
Concerns Encountered on the Report
Misspelled name
Wrong birthday/age
Wrong address
Concern regarding findings/diagnosis
Concern regarding recommendations
Missing pages/documents
Other
Brief Description of Concern *
Supporting Document (optional — JPG, PNG, or PDF, max 5 MB)
Choose File
No file chosen
Submit Request