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VA » Health Care » PTSD: National Center for PTSD » Providers » Assessment » Assessment Request Form

PTSD: National Center for PTSD

Assessment Request Form

The Clinician-Administered PTSD Scale (CAPS; including DSM-IV, DSM-5, and Child/Adolescent versions) may be requested below. Other National Center measures are available for direct download on the specific assessment page. For measures developed outside of the National Center for PTSD, information on how to obtain the instrument is available on the relevant assessment page. See a list of all measures. If you have questions, please contact ncptsd.assessment@va.gov.

PLEASE NOTE: 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, 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.

Request the Clinician-Administered PTSD Scale

Due to changes in regulations, to obtain the CAPS-5 Assessments:

Non-VA providers will need to resubmit this form.
For VA employees only: Download the CAPS-5 assessment measures on the National Center for PTSD Intranet website.

By checking this box you certify that you have advanced graduate level training in the administration and interpretation of psychodiagnostic assessment instruments; hold at least a master's degree in a clinical discipline; or possess research credentials.

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

I would like a copy of:

CAPS-5 (Clinician-Administered PTSD Scale for DSM-5; includes past week, past month, and worst month)

CAPS (Clinician-Administered PTSD Scale for DSM-IV)

CAPS-CA-5 (Clinician-Administered PTSD Scale for DSM-5 - Child/Adolescent Version)

CAPS-CA (Clinician-Administered PTSD Scale for Children & Adolescents - DSM-IV Version)

Full Name:*

Address:*

Country

Email Address:*

Are you planning to use the instrument(s) you receive with a Veteran?*

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

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

VA FORM
MAY 2009 10-0471

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.

PTSD Information Voice Mail: (802) 296-6300
Email: ncptsd@va.gov
Also see: VA Mental Health

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