
Our Process
From referral to completed evaluation: every step of how we work.

Step 1
Referral
Your attorney or immigration office refers you to Kipu Terra. They send us the case information: client demographics, family relationship, waiver type, and any available supporting documents.
Step 2
Screening & Planning
We complete a clinical intake screening (15 to 20 minutes) to identify your case type, screen for hardship domains, determine which interview modules to use, and plan the assessment battery. This ensures the evaluation is tailored to your specific situation.
Step 3
Clinical Interview(s)
We conduct a clinical interview with the qualifying U.S. citizen or LPR relative via secure telehealth. Sessions are conducted in English, Spanish, or both. We use a structured interview guide tailored to your case type and waiver category.
Step 4
Standardized Assessment
We administer validated psychological instruments: PHQ-9 (depression) and GAD-7 (anxiety) on every case, plus PCL-5 (PTSD) when trauma is indicated. Complex cases may include PAI or MMPI-2. Scores are recorded with severity cutoff determinations.
Step 5
Report Generation & Review
Your forensic report (12 to 25 pages) is drafted following a 14-section structure with DSM-5 diagnostic impressions. The report is weighted toward your strongest hardship areas identified during screening. The licensed therapist evaluator reviews for clinical accuracy, forensic tone, and completeness.
Step 6
Clinical Review & Co-Signature
Every report receives a second clinical review. The independently licensed Clinical Lead examines the diagnostic impressions, clinical analysis, and conclusions, then co-signs before release. Two clinicians stand behind every Kipu Terra report. That is the standard we deliver.
Step 7
Delivery
The completed, co-signed forensic report is delivered to your attorney or immigration office as supporting evidence for your waiver filing.
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