Assessment Services Thank you for your interest in initiating assessment services at TASC Psychology! Please complete the form and we will contact you to schedule a free, initial consultation. Name * First Name Last Name Email * Phone (###) ### #### Assessment Service * Please select the assessment or evaluation service you are interested in. Diagnostic Assessment Forensic Evaluation Other Assessment Service Referral Type * Self-Referral (Assessment services for myself) Provider Referral (Assessment services for a patient) Psycholegal (I am an attorney seeking to retain Dr. Grusecki) Other Referral Message Please include any additional information you feel would be helpful for us to know, including about the assessment. Acknowledgement * I acknowledge that TASC Psychology is not directly contracted with insurance companies but may be able to provide a receipt for services so that I can follow up with my insurance company for possible reimbursement. Thank you for your submission to TASC Psychology!We will review the information and contact you within 72-hours to schedule an initial consultation. If you have additional questions or wish to expedite your inquiry, feel free to reach out to Dr. Grusecki directly via email at drkatygru@tascpsychology.com or telephone at (608) 620-4043.We look forward to connecting with you! Return to Assessment page here. More questions? Visit our FAQ page here.