Forensic Evaluations

A forensic neuropsychological evaluation is required when a Neuropsychologist is asked to answer a specific legal question (e.g., worker’s compensation/Independent Medical Evaluation, fitness for duty, personal injury, and litigation). The Neuropsychologist’s report/opinion will play a central role in legal proceedings/depositions, the evaluations are inherently more detailed and comprehensive because we may be called to testify in court/depositions or have our reports subject to a high level of scrutiny by opposing counsel. For similar reasons, we will be requesting extensive collateral information from medical providers, employers, etc.

Evaluations will include approximately 1-3 hours of interview with the doctor, approximately 4-12 hours of face-to-face testing with the psychometrist over the course of 2 consecutive days, and additional hours for record review, scoring, data interpretation, and report preparation.

Legal evaluations will require a payment contract or purchase authorization prior to scheduling. In the case of scheduling a forensic IME, a retainer fee is required at least one week prior to the appointment being scheduled along with a completed forensic packet:

Adult Forensic Packet Adult Forensic Packet

The goal of neuropsychological evaluation is to determine if any changes have occurred in your attention, memory, language, problem solving, or other cognitive abilities. A neuropsychological evaluation may point tochanges in brain function and suggest possible methods and treatments for rehabilitation.

First part of the evaluation

The first part of the evaluation is an interview, which will entail asking questions about your background and current medical problems/symptoms. Although we try to be thorough during interviews, we may not ask about some areas or information that you believe are relevant or important to your current problems. If so, please tell us so that we can discuss it. Conversely, we may ask you questions that seem irrelevant to you/your condition, but based on our clinical judgment, they are necessary to better understand your condition. You are encouraged to bring or make available any documents that speak to your cognitive abilities before your problems began, such as school transcripts, work records, or employee evaluations. As part of conducting a comprehensive evaluation, your Neuropsychologist will likely request a number of documents relevant to your condition from a variety of sources including, but not limited to, your psychiatrist, neurologist, therapist/counselor, radiologist, primary care provider, hospitals, employer, and any other entities that would provide information pertinent to your condition.

Please be aware that you are encouraged to have a family member/significant other present during the interview to help provide information regarding your problems, but that they may not be present during testing. It is also the policy of this office and American Academy of Clinical Neuropsychologists/National Academy of Neuropsychology guidelines that third party observers (e.g., attorney, advocates, etc.) or recording devices are not allowed during the interview or testing.

Second part of the evaluation

In the second part of the evaluation, different techniques and standardized tests will be introduced including, but not limited to, asking questions about your knowledge of certain topics, reading, drawing figures and shapes, viewing printed material, solving puzzles, using a computer keyboard, and manipulating objects. You are to give your best effort during the testing. That does not mean that you must answer every problem correctly, as no one ever does. However, this part of the examination will assess the accuracy of your responses, as well as the degree of effort that you exert on the tests. Additionally, you will be asked to complete various questionnaires assessing your psychological/personality functioning. It is extremely important that you be as truthful as possible when answering these questionnaires.

After the evaluation

After the test results are obtained, the Neuropsychologist will interpret this information in a comprehensive report, which will be completed 10-12 weeks after last date of testing and after receipt of ALL requested records. The report will contain test data, provide detailed analysis of neuropsychological and psychological results, summarize the entirety of information and provide DSM-V-TR/ICD-10 diagnoses, and provide relevant recommendations.

Patients are considered to be an examinee in a forensic evaluation, and as such will not have a typical doctor-patient relationship or any form of continuing professional relationship with the doctor. Consequently, the doctor will not conduct a feedback session to discuss results, or directly provide the patient with a copy of the report or test results. The patient may be able to obtain a copy of the final forensic report from the referral source, attorney, case manager, worker’s compensation representative, or employer. If there is a need for test data/materials, the patient must sign the appropriate Release of Information form, and this information will be provided to another qualified Neuropsychologist (records copying fee $250), but we will not release the information to the patient or the patient’s legal representative. It is important for the patient to note that the raw test data/materials are not protected under HIPAA.  This request must be submitted in writing from the qualified Neuropsychologist along with their CV.

Once your formal testing session is completed, your relationship with ANA (all staff) will come to an end. Consequently, it is ANA office policy to cease all contact with you directly. If for some reason you have other questions or concerns about your evaluation, you are directed to contact the referral source or your nurse case manager/legal representative.

The final report

You should be aware that a copy of the report from this evaluation and/or Neuropsychologist testimony regarding your circumstances could be part of a trial and/or deposition. In general, according to the law and our ethics code,what you discuss with the Neuropsychologist is not shared with anyone else without your written permission. However, there are several exceptions, which are designed for your protection and safety. These exceptions include:

1) If you divulge information about the abuse of child, vulnerable adult, or elder, then we are required by law to report this to the appropriate authorities, which may include Adult Protective Services, Office of Children Services, and/or law enforcement.

2) If you threaten to harm yourself, someone else, ANA office/staff, or the property of others, we may be required to notify the police and potential victim(s), or take other reasonable steps to prevent the threatened harm.

3) If ordered by the court, we may have to testify or release your records to another qualified Neuropsychologist.

Due to the nature of this evaluation, our office will not automatically send a copy of the report to you, but a copy of the report may be requested from your lawyer or the referring party.

Location and Hours:

Address, Phone & Fax

4241 B Street, Suite 202
Anchorage, AK 99503
Phone: (907) 277-0100
Fax: (907) 222-0566

Office Hours:

Monday - Friday 8:00 am to 5:00 pm