REPORT OF PSYCHOLOGICAL ASSESSMENT
Confidential Material
NAME: Scott Smith
DATE OF BIRTH: 7/8/2012
CHRONOLOGICAL AGE: 6 years 1 month
PARENTS: Mary Smith and Sebastian Smith
GRADE: 1st grade
DATES OF ASSESSMENT: 8/17/2018; 8/27/2018
DATE OF REPORT: 9/3/2018
PSYCHOLOGIST COMPLETING REPORT (Washington Unified School District): Kathryn Johnson, LCP
INDENTIFYING DATA AND REASON FOR REFERRAL
Scott is having some difficulties with behaviors in the classroom, although his academics are average and in some cases are above average. He has some issues with hyperactivity, aggression, and some other atypical behaviors that have his teacher concerned. For example, he sometimes refuses requests to do tasks he does not want to complete.