Submit your report(s)

This page was created to give you a secure way to transmit your report(s) and state form data to several of us at once, so we can track it, and make sure it gets sent out.

If you get the automatic response page (bright green), the report was transmitted correctly.  You should also get an email and check your spam if you don’t see that message. If you don’t get the confirmation page, or the email, your report may not have been sent, so check that you completed the necessary fields, and try again, or call/email us at the office.

Please choose your name here. This will tell the portal where to send the receipt for this report.
76542-01, 02
ex. ODO JEN
Check YOUR opinion for data tracking purposes.
In case you want to comment about the opinion (Other, Can't determine, etc.) Choose Can't determine for NO SHOW.
If you included all referred reports,you can just skip the question. Put any details in the comments.
Please tell us anything we need to know about your billing for this case. Especially if there are going to be extra charges or if another action needs to be taken.
Please COMMENT here if you were accompanied by a translator or if you are charging additionally for translation.
Click or drag files to this area to upload. You can upload up to 4 files.
You can load up to two pdf-password protected reports (or a letter).
Check this box for submitting an ADDENDUM, NO SHOW note, or other report that would not require filing a state form.

STATE FORM

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This can be in 1/4 hour increments. We will divide this by the number of completed evaluations and credit across the evaluations.
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In 30 minute increments
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in 30 minute increments
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in 30 minute increments
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In 15 minute increments
Pick your testing category
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in 15 minute increments.