The documentation of clinical services has taken on unprecedented importanc
e for practicing psychologists. Structuring quality care, decreasing liabil
ity exposure, and fulfilling requirements for reimbursement are primary obj
ectives in pursuing thorough documentation practices. As a practice aid and
a brief reminder, the authors review the basic structure for documenting a
n initial evaluation, highlighting content areas that are felt to be import
ant for attaining the objectives noted above. The authors suggest that psyc
hologists use the term psychological consultation to specify this procedure
, designating it as a distinct process from psychological testing or psycho
logical treatment.