Appendix 5
Informed Consent Form for
Psychological Testing
The signature below indicates my awareness and understanding of
the conditions under which I am being required to complete the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).I understand that:Informed Consent Form for
Psychological Testing
| 1. | As stated in the admissions policy approved by the Murray State University Board of Regents for the baccalaureate Social Work Program, the results of the MMPI-2 alone will not be used to deny me admission to the program. However, students may be required to seek counseling to resolve issues identified by psychological staff who are charged with interpreting my results. | ||||||
| 2. | The MMPI-2 will be used only for counseling prior to admissions to the Murray State University Social Work Program. All counseling will be provided by appropriately trained psychological staff with a minimum of master's level training in counseling, social work, or clinical psychology. | ||||||
| 3. | An interpretation of my results on the MMPI-2 will be made available to me if I request it. | ||||||
| 4. | Information provided by me on the MMPI-2 will be confidential, with only the following individuals having access to
the results:
|
-398-
Questia, a part of Gale, Cengage Learning. www.questia.com
Publication information:
Book title: Gatekeeping in Bsw Programs.
Contributors: Patty Gibbs - Editor, Eleanor H. Blakely - Editor.
Publisher: Columbia University Press.
Place of publication: New York.
Publication year: 2000.
Page number: 398.
This material is protected by copyright and, with the exception of fair use, may not be further copied, distributed or transmitted in any form or by any means.
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