neuropsychological evaluation process

A full, comprehensive neuropsychological evaluation (or assessment) typically involves the following:
  • Completion of developmental history questionnaires by the family.

  • Completion of behavior rating scales by parents and teachers (as applicable).

  • Review of past test reports, specialist records, medical records, etc. by the psychologist.

  • A 45–60 minute intake meeting with the child’s parent(s) or guardian(s) and the psychologist. Children do not attend this meeting. This is our opportunity to talk about the reason for referral, presenting concerns and goals for the evaluation. This time will also be used to obtain a detailed developmental, medical and educational history.

  • Minimum of two, two-hour testing sessions with the child (minimum of four hours of testing).

  • Scoring and interpretation of all tests and records data by the psychologist.

  • One feedback meeting with psychologist and parent/guardians (only) during which we will review all test data, discuss any diagnostic conclusions and talk about treatment options.

  • Full, detailed written report prepared by the psychologist that clearly identifies the presenting concerns, details all test results and data, provides diagnostic conclusions (as appropriate) and details treatment recommendations.

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Thank you for the report. It is excellent and very informative. Thank you SO MUCH!

– Family from Marblehead, MA

Optional services that can be included with the evaluation:

Optional services carry an additional charge and are compensated via private pay

Academic achievement evaluations and consultation services: Many families who come to see me have concerns with how their child is doing at school. The only way to diagnose a learning difference is by conducting academic achievement testing, which provides a thorough look at all academic skills. For students who are struggling, academic achievement testing helps clarify the types of instruction and supports that are needed. Specific educational programming recommendations are offered.

School-based observations: Often as part of an evaluation, there is a question about whether a child’s school-based services are appropriate. In these situations, families (and/or their advocates!) often request a school observation in order to see the student in their academic environment, obtain more information about school services, and to help identify any areas where programming can be strengthened. School observations are not covered by insurance and are privately arranged

Participation in IEP and team meetings: A neuropsychological evaluation is a lengthy process. At the end, each family receives a detailed report with individualized recommendations for educational and/or treatment programming. Many families choose to share the report with their school district. In turn, the district is required to convene a team meeting to review the outside assessment results. Some families feel overwhelmed presenting the test findings at the meeting and prefer for the evaluator to attend. This is an optional service for families who want support at the meeting(s). Insurance does not cover the cost of this service. Arrangements are made privately with the family.

Consultation with other professionals involved in the child’s care (i.e., speech pathologist, BCBA, occupational therapist, mental health counselor, pediatrician, psychiatrist, physical therapist, tutor, etc.)

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E is doing so wonderfully at his new school. It is a true miracle to see the difference in him both academically and emotionally. I can feel his relief and even his joy again. That is in large part due to your work with him and we will never forget that. I am eternally thankful to you. E is such a unique and happy boy and it’s so overwhelming and amazing to see him thrive again!

– A family from Essex, MA

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