Forms

Forms for prospective clients. 

Dr. Worthen provides Independent Psychological Exams & Consultation to Attorneys

► Employment Law (ADA, sexual harassment)

► Civil Competencies (guardianship, testamentary capacity)

► Psychological injury (tort actions, insurance)

► Veterans disability claims (specializing in complex cases)

Click here for more information ...

Demographics Form

This demographics form is HIPAA-compliant, which means that the information you enter into the form and it's transmission via Google Forms to me (Dr. Worthen) are private (meets national standards for the protection of individually identifiable health information) and secure (meets national standards for protecting the confidentiality, integrity, and availability of electronic protected health information). 


You might like these articles ...

  •  

    Contact Mark D. Worthen, Psy.D.

    Contact information for Asheville forensic psychologist Mark D. Worthen, Psy.D., providing phone numbers, fax, and an email contact form.

  •  

    Dr. Worthen's Curriculum Vitae

    Curriculum Vitae (résumé) for Mark D. Worthen, Psy.D., Asheville forensic psychologist, listing education, training, and work experience.

  •  

    Nexus Letters for VA Claims

    Dr. Worthen can provide nexus letters for VA claims for PTSD and other mental disorders, especially for appeals cases.


What Do You Think?

Sign-in iconImage of the Google sign-in icon

I value your feedback!

If you would like to comment, ask questions, or offer suggestions about this page, please feel free to do so. Of course, keep it clean and courteous.

You can leave an anonymous comment if you wish–just type your first name.

If you want to receive an email when someone replies to your comment, click the icon on the lower right of the comment box to use Google Sign-in. (Your email remains private.) 

Important: Do not type your email address or other identifying information into your comment as it will appear on the Internet for everyone to see ... and for spam bots to harvest so that spammers can sell your email address to other spammers.

HTML Comment Box is loading comments...

How did you build this website?

I used Solo Build It! to build this website in 2004 and still use it today, especially for the extremely helpful business guidance and the superior search engine optimization.

Note: If you click on one of these links and you decide to purchase Solo Build It! I earn a small affiliate commission. Your cost is the same either way. If you do not want me to earn an affiliate commission, just google "solo build it".