Specialized Assessments

Clinique Vivago offers assessment packages for guardianship, protection mandates, or temporary representation of an incapacitated adult.

At Clinique Vivago, we are committed to providing comprehensive, evidence-based evaluations to ensure the most accurate and just determination of an individual’s capacities. To achieve this, we mandate the involvement of both a social worker and an occupational therapist in every assessment package in addition to the individual’s treating medical doctor. This multidisciplinary approach ensures that data is triangulated across professional domains, increasing the reliability of our findings while preserving the dignity and rights of the individual involved.

Roles of the Multidisciplinary Team

Occupational Therapist (OT) – Functional Capacity Evaluation

The OT conducts a detailed functional assessment that evaluates the individual’s ability to:

1) Care for themselves and maintain personal safety, including:

Self-feeding, washing, bathing, dressing;
Managing medications;
Identifying and responding to risks (e.g., fires, household dangers).

2) Protect themselves from harm, including:

Evaluating vulnerability to financial abuse, fraud, or undue influence;
Assessing their ability to recognize and mitigate risks related to self-neglect or unsafe living conditions.

3) Care for their environment, including:

Housekeeping, meal preparation, and maintaining a safe living space.

4) Manage their finances, including:

Understanding banking, budgeting, and financial transactions;
Recognizing financial risks or exploitation.

It is important to note that a person may be deemed capable of managing their self-care but not their finances, or vice versa. It is also possible for an individual to be fully capable in both areas or to require varying levels of assistance. Our evaluation will provide a clear, evidence-based distinction between these capacities to guide decision-making.

Social Worker – Psychosocial Assessment

The psychosocial assessment examines the individual’s:

Mental health and cognitive function;
Functional and financial capacities;
Social network and available support systems;
Decision-making abilities and understanding of legal matters;
Vulnerabilities and potential risk factors.

The social worker’s evaluation offers a holistic understanding of the individual’s cognitive, emotional, and social well-being and is a necessary component of the assessment package.

Medical Doctor – Triangulated Assessment

To further strengthen the accuracy of our evaluation, we triangulate our findings with the individual’s treating physician. This ensures that our assessment aligns with the person’s medical history, cognitive health, and any relevant diagnoses.

1) The client or their legal representative must provide us with their physician’s contact information and, at the minimum, confirmation of an appointment scheduled with their physician for their portion of the evaluation before we can proceed with our assessments.

2) Once a formal legal request is received, we require written consent from the client (or their legal representative) to send reports to the notary handling their case. It is important that the individual subject to the evaluation is made aware of the reason for our assessments, including in circumstances where their ability to provide clear and informed consent is unclear.

Time Estimate and Pricing

Starting Rate

The total starting rate is $2,400 which typically covers the full evaluation process. The following package represents a break down of this cost.

Occupational Therapist’s Evaluation & Report

Duration: 5 hours

Hourly Rate: $180

Fees: $900

Social Worker’s Psychosocial Evaluation & Report

Duration: 10 hours

Hourly Rate: $150

Fees: $1,500

**Given the complexity of these assessments, the total time required may vary. If additional time is required, it will be billed at $150 per hour for any professional involved (social worker, occupational therapist, or any additional consultation needed) with clear justification provided for the extra time.

Expert Medico-Legal Testimony

If required, our team is available to provide expert medico-legal testimony in any judicial process. The standard rate for expert testimony by healthcare professionals in Quebec is approximately $500 per hour.

Payment Schedule

Occupational Therapist’s Evaluation:

Two assessment sessions of 90–120 minutes each at $360 per session (total: $720);
$180 upon delivery of the final report;

Social Worker’s Evaluation:

1st meeting: $600; 2nd meeting: $600; 3rd meeting: $600.
If additional hours are required, they will be billed separately at $150/hour.

The final report(s) will be sent to the notary only after full payment is received and with explicit client consent.

** Please note our services are not covered by RAMQ but we do take private insurance. Consult with your insurance company for more details about your coverage percentage **