Form Completion — Standard
Single-page forms or brief documentation requiring review and provider signature.
$50
Request Form
Documentation & Administrative Services
These services support continuity of care. Prices shown are self-pay and are typically not covered by insurance.
Form Completion — Complex
Time-intensive documentation (FMLA, disability, DMV/work leave) requiring detailed review.
$150
Request Complex Form
Letter Request
Work, school, housing, ESA, or accommodation letters — includes one revision.
$95
Request Letter
Record Request / Documentation Packet
HIPAA-compliant compiling and secure delivery of clinical records or documentation.
$35
Request Records
Care Coordination (Clinician Time)
Communication with schools, therapists, physicians, or insurers. Billed in 15-minute increments.
QbTest Only
Standalone ADHD attention and activity testing with clinical interpretation and report.
$150
Purchase QbTest