The assessment report is the culmination of the evaluation process. It represents the clinician’s efforts to holistically understand a client within their culture and context, serving as both a communication tool and interpretive frame. This chapter explores how to create an empowering, transformative assessment report. The report summarizes the youth’s current concerns, background and history, cultural characteristics, strengths and resources, behavior and mental status, as well as any test results. These components should be included according to the guiding assessment questions co-developed with the referral source, child, family, and/or other caregivers. The information is then integrated into a summary or case conceptualization that leads to recommendations—responsive to the youth’s situation, development, culture, and context—across ecological levels. Often, these assessment reports remain with youth throughout their childhood and beyond. We use case material to illustrate how reports can be written in an engaging, non-pathologizing way that promotes insight across various stakeholders and has the power to catalyze transformative, actionable changes.