Schedule an Evaluation

Please complete the form below and we’ll get back to you shortly.

Parent/Guardian Full Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Child’s Full Name *

Child’s Date of Birth *

Type of Evaluation Needed *

Select Evaluation Type

ADHD Testing
Autism Testing
Learning Disability Evaluation
Neurodevelopmental Testing
Other

Brief Description of Concerns Regarding Child

Preferred Date for Appointment *

Preferred Time for Appointment *

Additional Information or Special Requests

Referral Source

Dr. Turner’s clinic does not work directly with insurances nor Medicare. Most clients use HSA funds or seek reimbursement from their insurances. We provide superbills which are “insurance ready” statements. All evaluations begin with 60-minute Diagnostic Assessment (referred to as an "Intake") which is $279. Tick the checkbox to acknowledge.

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