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PTSD: National Center for PTSD

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Assessment Request Form

Assessment Request Form

To request any of the listed National Center for PTSD assessment instruments, complete and submit this form online, or print the completed form and mail to the address listed at the bottom of the page.

PLEASE NOTE: Access to these professional instruments is somewhat limited. The American Psychological Association's ethical guidelines on psychological test instruments require advanced graduate level training in the administration and interpretation of psychodiagnostic assessment instruments. Thus, we are typically not able to distribute the measure to people who do not hold at least a master's degree in a clinical discipline. Access to these measures requires proof of clinical status or research credentials. Please also clarify your intended use of the measure. Students who want measures for course papers are encouraged to use sample items or have their clinical professors make the formal request.

The following scales are now available online in PDF format:


Fields marked with * are required. Allow 7-10 days for processing.

I would like a copy of:
Address:*

ONLY the scales listed above can be requested with this form. For other assessment instruments see information on the individual measure you are interested in.

I prefer to be contacted by:

*Information on this form is collected for acknowledgement and verification of credentials only.

or

VA FORM
MAY 2009
  10-0471

To make your request by mail, print this form and mail to:

Assessment Requests
National Center for PTSD (116D)
VA Medical Center
215 N. Main St.
White River Junction, VT 05009

Do NOT try to diagnose yourself for PTSD. Please contact your doctor or a mental health specialist. You can get more information about how to get help in the following Fact Sheets:

PLEASE NOTE: The National Center for PTSD will not provide assessment tools to untrained professionals. If you have any questions please contact ncptsd.assessment@va.gov.

VA providers and staff can download National Center assessments from the VA's intranet site: vaww.ptsd.va.gov