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CONTACT INFORMATION (for the CAPDA directory and website)













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MEMBERSHIP INFORMATION (for internal records only)


Please provide provincial/state registration/license information:


Date of Registration



If you have a doctoral degree from an accredited educational program acceptable to your provincial or state regulatory body for registration for the practice of psychology, please enter below


Year of Graduation


If you have at least five years of post-doctoral experience relevant to psychological disability assessment, please describe this experience below, noting the services delivered, settings, special training, client groups, supervision, etc.
(Note: applicants with less than five years of relevant post-doctoral experience and training in psychological disability assessment should instead apply to become a Candidate for Membership).

In your judgment, are you a member in good standing of the profession?
 Y    N

If you have less than five years of relevant post-doctoral experience and training in psychology relevant to psychological disability assessment, are you pursuing further training, education experience, and practice in psychological disability assessment (e.g., this might include attending conferences and workshops, conducting disability assessment under supervision, self-directed learning/readings, peer consultation)? If yes, please briefly describe your plans for further training, education and experience


If you have documented (so that you can attest to having completed) at least 50 continuing education hours in disability assessment over the past year, please specify the number of hours per week you devote to disability assessment and/or rehabilitation management/treatment.
Note: peer consultation and supervisory hours (both as supervisor or supervisee), self-directed reading and research, formal workshops all count as continuing education hours


Two reference letters from two Full Members (who are not CAPDA Directors) in good standing with CAPDA. (If you are not known to any Members, you may have two letters of reference submitted by registered psychologists, and be interviewed by two Directors, who will act as sponsors and confirm this in writing to the Chair of the Membership Committee. If the applicant has one letter of reference from a Member, then only one Director's interview and sponsorship is required.)


Your documents need to be a PDF or Word file. File size limit is 4 MB


Your documents need to be a PDF or Word file. File size limit is 4 MB

- This is mandatory in order for your application to be considered!
Your documents need to be a PDF or Word file. File size limit is 4 MB

- with examinee and other identifying information removed. This is mandatory in order for your application to be considered!
Your documents need to be a PDF or Word file. File size limit is 4 MB

Applicants for Member (but not for Candidate) are required to provide a sample disability assessment. Please consider the following in doing so.

The CAPDA website has links to sites that discuss standards for disability assessment reports.

Practice standards are addressed here.

The Practice Handbook for MVA Work, 2010, contains a lot of helpful information re reports (esp. pages 9-19).

Also, OPA Auto Guidelines for Assessment and Treatment in Auto Insurance Claims (esp. 45-65), 2010.

Also, APA Specialty Guidelines for Forensic Psychology, especially section 10, Assessment.

The Joint OPA/CAPDA Guidelines for Best Practices in Psychological Insurer Examinations, Aug 30, 2016.

In addition to the above formal references, please consider the following.

  1. Ensure that the report is a disability assessment, as opposed to strictly diagnostic or a treatment report. A third party report usually lends itself best to this purpose. The report is essentially forensic, involving matters that may be contentious, such as eligibility for a disability claim, a tort, or (in the case of an Independent Medical Examination) another clinician’s application for assessment or treatment or assessing entitlement to a benefit (including accessing resources for education or provision of services for those with developmental disabilities).
  2. Redact identifying information thoroughly. The examinee’s first or last name should never appear in the report. Names of spouses are redacted, as is other identifying information such as precise date of birth (though year should be kept in), and employer. If the report might be embarrassing to another clinician or any other person, that person’s name is redacted. In addition to the body of the report, please check headers, summaries, and insurer’s questions.
  3. The report needs to be neutral in tone and demonstrate good scientific reasoning ability. Conclusions follow logically from data, including collateral reports, interview, behavioural observations, and tests or inventories. Alternative hypotheses are shown to have been considered. General validity considerations, including use of symptom validity indicators, are noted. Issues related to culture, language, and other matters of diversity are addressed. Invalid results are not assumed to imply absence of disability.
  4. Typographical errors are minimized.
  5. The report should be comprehensive but not over inclusive.
  6. Conclusions and recommendations are limited to the assessor’s scope of practice in psychology, although considerations outside this scope of practice may be noted, deferring to the appropriate health professional.


PRACTICE INFORMATION (for the CAPDA directory and website)


Assessment Services

If you conduct disability assessments, what percentage of your work are disability assessments?

Check the types of disability assessments conducted:
 Clinical  
 Neuropsychological  
 Vocational  
 Other  
If you select 'Other', please describe:

Check the age groups for which this is provided:
 Adolescents  
 Adults  
 Children  
 Elderly  
 Infants  
 Other  
If you select 'Other', please describe:

Check referral sources for disability assessments:
 Assessment Agencies  
 Insurers  
 Lawyers  
 Physicians  
 Rehab Personnel  
 Self  
 Other  
If you select 'Other', please describe:

Therapy Services

Types of intervention:
 Behavioural  
 Biofeedback  
 Cognitive  
 Cognitive Retraining  
 Family  
 Hypnosis  
 Insight Oriented  
 Marital  
 Rehabilitation Counselling  
 Other  
If you select 'Other', please describe:

Types of conditions:
 Adjustment Disorders  
 Anger  
 Anxiety Disorders  
 Behavioural Disorders  
 Chronic Pain  
 Cognitive Impairment  
 Mood Disorders  
 Post Traumatic Stress Disorder  
 Other  
If you select 'Other', please describe:

Check the age groups for which this is provided:
 Adolescents  
 Adults  
 Children  
 Elderly  
 Infants  
 Other  
If you select 'Other', please describe:

Check referral sources for rehabilitation-oriented therapy:
 Insurers  
 Lawyers  
 Physicians  
 Rehab Personnel  
 Self  
 Other  
If you select 'Other', please describe:

Languages in which you provide services (other than English)

 Cantonese  
 French  
 Italian  
 Spanish  
Other, please describe:

Authorization

Do you want to join the general membership ListServ?
 Y    N

Show my email on the public Member Directory
 Y    N

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