Disability and workplace evaluations
Behavioral-health documentation for FMLA certification, ADA workplace accommodations, and private STD/LTD claims. Florida telehealth. Fees range from $350 to $1,000, depending on scope.
Florida telehealth statewide · Dr. Sasha R. Sioni, DBH, MPH, LMHC-QS.
What all of these have in common
Each evaluation is independent. I assess your condition and report what I find. If the results support your request, you receive clear documentation. If they do not, I explain why, and we talk about what else might help. The goal is documentation that is useful to you and credible to whoever reads it.
Compare evaluation types
- Time off work: FMLA certification, $350 to $600
- Changes at work: ADA workplace accommodations, $450 to $750
- An employer disability insurance claim: private disability insurance (STD/LTD), $500 to $1,000
I do not offer evaluations for Social Security disability claims (SSI or SSDI). For those claims, an acceptable medical source, such as a physician or licensed psychologist, must establish the impairment.
FMLA certification
$350 to $600
If a mental-health condition counts as a serious health condition under the Family and Medical Leave Act, you may be entitled to up to 12 weeks of job-protected leave. This evaluation looks at whether your condition meets that standard and completes the required certification forms.
Before you book: under federal FMLA rules, a licensed mental health counselor's certification counts only if your employer, or its group health plan, accepts certifications from counselors. Please ask your HR office first.
- Intermittent FMLA: $350 to $450 · 1.5-2.5 hours · forms within 72 hours
- Continuous FMLA: $450 to $600 · 2-3 hours · forms within 72 hours
Includes validated measures of symptom severity and functional impairment. Completed forms go to you, not your employer. You decide who sees them.
ADA workplace accommodations
$450 to $750
If a mental-health condition limits your ability to do your job, you may be entitled to reasonable accommodations under the ADA. This evaluation documents your functional limitations and recommends specific changes, such as flexible scheduling, remote work, modified duties, or a reduced caseload.
The letter goes to your employer's HR department on letterhead. You may not have to share your specific diagnosis. If your condition or need isn't obvious, your employer may ask for reasonable documentation showing that you have a qualifying condition and why you need the accommodation. The letter can often describe the condition in general terms.
Fee: $450 to $750 depending on complexity · 2-4 hours total · letter within 3-5 business days. Uses the same validated symptom and functioning measures as the FMLA evaluation.
Private disability insurance (STD/LTD)
$500 to $1,000
If your employer-sponsored disability plan asks for clinical documentation, this evaluation provides a diagnostic assessment, a summary of functional impairment, and completed insurer forms. Periodic updates are available at $200-$400 each.
Fee: $500 to $1,000 · 3-6 hours total · documentation within 5-7 business days. Some insurers require a psychiatrist or licensed clinical psychologist, so check your plan before scheduling.
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. The Florida LMHC license covers clinical assessment and diagnostic evaluation.
Practical details
- Format: Florida telehealth statewide
- Total time: 1.5 to 6 hours depending on evaluation type
- Documentation delivery: 72 hours to 7 business days, depending on scope
- Payment: self-pay prices; see the note below
These are self-pay prices. Medicare and health plans usually do not cover exams or forms that an employer, insurer, or agency requires. 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. Many clients use HSA or FSA funds; check with your plan. 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.
Common questions
Will my report hold up if challenged?
Each report explains the diagnostic reasoning and includes validated measures of symptom severity and functional impairment. It also includes a structured functional assessment matched to the evaluation type: FMLA serious health condition, ADA reasonable accommodation, or private STD/LTD plan criteria. The employer or insurer decides whether to accept a report and how much weight to give it. I do careful work, but how it is received is outside my control.
Will my employer or insurer accept a report from a licensed mental health counselor?
It depends on who reads it. For FMLA leave, a counselor's certification counts only if your employer or its group health plan accepts certifications from licensed mental health counselors, so ask HR first. For ADA accommodations, employers may ask for reasonable documentation, and federal EEOC guidance lists licensed mental health professionals among the professionals who can provide it. Ask HR what they accept. Private disability insurers set their own rules, and some require a psychiatrist or licensed clinical psychologist. Please check before you book. This is general information, not legal advice.
Do you accept attorney referrals?
Yes. Employment and disability-insurance attorneys can ask their client to send a secure inquiry; the client's own inquiry starts the process. Before you refer, I can send my evaluation methods, instrument list, and CV on request. Please do not send health information or records by email.
What if I am not sure which evaluation I need?
Start with a secure inquiry and describe your situation in a few sentences: what you need to document, who is asking for it, and any deadlines.
How does payment work for ranges?
Each evaluation type has a fee range because the total time depends on how complex the case is, how many documents there are, and how long the forms are. I set your estimate at intake based on what you describe. The top of the range is for cases that need extra time. Many clients use HSA or FSA funds; check with your plan. If I am not in network with your plan, I can give you a superbill to send to your plan.