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Is a full evaluation right for you?

This brief screening survey is designed to help us determine if a comprehensive neuropsychological evaluation is the best path forward for you or your child. By providing a snapshot of your current concerns, we can ensure our services are a meaningful fit for your cognitive and developmental needs. Please note that this is a screening tool only and is not an emergency service. If you are experiencing a crisis, please contact emergency responders immediately.

Quick Screening Form

Please complete this form to help us understand your concerns and clinical history.

Areas of Concern
Prior Evaluations
Yes
No
Current Grade Level
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What Happens Next

After submitting the survey, our clinic will review your responses to help determine if a full neuropsychological evaluation is a good fit. We will follow up with you by email or phone. If you have any additional details to share in the meantime, please visit our Request Information page.

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