Evaluation

ADHD evaluation for adults and teens (12+) in Florida

A structured evaluation for adults (and adolescents 12+) who think they may have ADHD, want a clear answer, or need documentation for a prescriber, school, or employer. $1,295 self-pay ($1,695 with accommodation documentation). Written summary within one week.

Florida telehealth statewide · Mobile in-person within 30 miles of Orlando · Dr. Sasha R. Sioni, DBH, MPH, LMHC-QS.

Overhead view of notes, laptop, and study materials on a working desk

Who comes for this evaluation

  • Adults who have wondered about ADHD for years but never had a formal evaluation
  • People whose doctor, therapist, or psychiatrist needs documentation before prescribing
  • Adolescents (12+) when a parent, school, or clinician has raised concerns
  • Anyone who needs written clinical documentation for a prescriber, school, or employer

Schools, testing agencies, and employers may ask for more than a clinical evaluation. If you know what documentation you need, mention it at intake.

What the fee covers

Some online services sell "ADHD assessments" for a few hundred dollars. They are often based on a questionnaire that a clinician you never meet reviews later. Those can work for some people. This is a different service.

Here you meet with the clinician who writes your report. The evaluation includes a live interview, validated rating scales for ADHD and executive functioning, and screening for conditions that can look like ADHD. You receive a written summary prepared for your prescriber. The full process takes about two weeks.

What the evaluation covers

  • A detailed clinical interview about your developmental history, current symptoms, and daily life
  • DSM-5-TR symptom mapping, including the childhood-onset and duration criteria
  • A review of how symptoms affect functioning in at least two settings (home, work, school, social)
  • Validated ADHD rating scales
  • Screening for mood, anxiety, sleep, trauma, and substance use patterns that can look like ADHD
  • Review of relevant records and input from others when available and authorized
  • A written summary for your prescriber with the diagnostic rationale, symptom severity, and treatment considerations

The diagnosis rests on the full clinical picture, not on one questionnaire or test score. Standardized performance measures are part of the accommodation-documentation tier. In a diagnostic evaluation, I use them only when they would add useful information.

How it's delivered

  • Telehealth — available statewide for clients located in Florida at the time of the evaluation
  • Mobile in-person — within about 30 miles of Orlando. The first consultation is by telehealth; the evaluation session takes place in person at your location

For adolescents, a parent or guardian takes part in the evaluation and signs the informed-consent documents.

What you receive

  • A clear diagnostic opinion: ADHD confirmed, ruled out, or deferred, with the reasons
  • A written summary formatted for your prescribing physician or psychiatrist
  • One follow-up session to review the results and answer questions

How to prepare

  • Past evaluations, testing reports, or other records you want me to review. I use records and input from others only when you authorize it.
  • What documentation you need and who is asking for it, such as a prescriber, school, testing agency, or employer. Mention it at intake.
  • Any deadline, such as a school accommodation request, employer paperwork, or a prescriber appointment. Tell me at intake so we can plan around it.
  • Time to complete the rating scales and any standardized measures online at your own pace, usually 30 to 60 minutes.
  • For adolescents, a parent or guardian who will take part in the evaluation and sign the informed-consent documents.
  • Depending on your situation, I may ask a parent, teacher, or partner to complete a short rating form. I ask only with your permission.

Save your medication list and other detailed health information for intake. Please do not send health information by ordinary email.

Fees

These are self-pay prices. If you have Original Medicare or a plan I am in network with, please ask before you schedule, because some parts may need to be billed to your plan. You can often use HSA or FSA funds for parts you pay yourself. If I am not in network with your plan, I can give you a superbill to send to your plan. If you have no insurance or choose not to use your private insurance, you get a written Good Faith Estimate for any part you pay for yourself. If you have Medicare, I tell you in writing before you schedule which parts Medicare covers and what any other part will cost. Evaluation appointments follow the same cancellation policy as therapy: cancel at least 48 hours ahead to avoid the $75 late-cancellation or no-show fee. No deposit is required. Insurance and Medicare do not pay this fee. Some plans do not allow this fee. If yours does not, it is not charged.

ADHD diagnostic evaluation · $1,295
Everything listed under "What the evaluation covers," one follow-up session, and a written summary for your prescriber in about a week. Best for treatment planning.
ADHD evaluation with accommodation documentation · $1,695
Everything above, plus standardized testing suited to the disability, validity measures, and an analysis of how symptoms affect you under timed, high-stakes conditions. The report documents your accommodation history (or explains why there is none), links each requested accommodation to a specific limitation, and follows the testing program’s published documentation standard.

The extra cost pays for the accommodation case, not the diagnosis. Fees do not guarantee a diagnosis, a particular report conclusion, or approval of an accommodation.

Planning an SAT accommodation request? College Board decides each request. These guides explain the process: Does an IEP or 504 Plan automatically transfer to the SAT? and ADHD and SAT accommodations: why functional impact matters.

Evaluator background

Dr. Sasha R. Sioni, DBH, MPH, LMHC-QS. Doctor of Behavioral Health (Arizona State University), Master of Public Health (Yale School of Public Health), Professional Program in Neuropsychological Assessment (UC Berkeley Extension, continuing education). Florida Licensed Mental Health Counselor (MH24469) and Qualified Supervisor.

The UC Berkeley program is continuing education, not a license. Services are provided as an LMHC and are not neuropsychological testing.

Common questions

How long does the whole process take?

About two weeks from intake to written summary. The clinical interview is one 90-minute session, sometimes split into two. You complete the rating scales and any standardized measures online at your own pace, usually in 30 to 60 minutes. You get the written summary within one week of the last session. If you have a deadline, such as a school accommodation request, employer paperwork, or a prescriber appointment, tell me at intake and we will plan around it.

Do you prescribe medication or treat ADHD after the evaluation?

I do not prescribe. The evaluation gives you a written summary that your prescribing physician or psychiatrist can act on. If you don't have a prescriber, I can suggest options to look into. If therapy would help, individual therapy is available separately. The individual therapy page has details.

Is this evaluation covered by insurance?

The fees are $1,295 for the diagnostic evaluation, or $1,695 with accommodation documentation. These are self-pay prices. If you have Original Medicare or a plan I am in network with, please ask before you schedule, because some parts may need to be billed to your plan. Accommodation documentation for testing programs is usually not covered. You can often use HSA or FSA funds for parts you pay yourself. If I am not in network with your plan, I can give you a superbill to send to your plan. Whether a plan pays anything varies and is not guaranteed.

What about kids under 12?

I work with adolescents 12 and older. Children under 12 are usually better served by a child-focused evaluator who can observe at school and use parent rating scales. I'm happy to point you toward resources.

Can I do the evaluation in person?

Yes, within a limited area. Mobile in-person visits are available within about 30 miles of Orlando. We start with a telehealth consultation, and then I come to your location for the evaluation session. The fee is the same as telehealth. Outside that area, the evaluation is done by telehealth anywhere in Florida, as long as you are in the state at the time.

What if the evaluation doesn't confirm ADHD?

You still get a complete written summary. It explains what was assessed, what was found, and which other conditions were considered. Mood, anxiety, sleep, trauma, and substance use can look like ADHD, so the evaluation screens for them. If the results point to something else, the summary says so and explains why, so your prescriber or therapist can act on it.

Related care