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The document is a CLBC Eligibility Form – Assessor Report, intended for use by registered psychologists or school psychologists in British Columbia. It includes sections for assessing whether an individual meets the criteria for Intellectual Disability according to DSM-5 standards and evaluates eligibility for the Personalized Supports Initiative (PSI) based on adaptive functioning limitations. The form emphasizes confidentiality and requires detailed professional information from the assessor.

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