Self-Pay Appointments

Request a Self-Pay Appointment

Self-pay appointments are coordinated directly with Quantum Blue Nursing to ensure the correct appointment type is selected and that pricing, registration, and scheduling are reviewed before confirmation.

Basic psychiatric evaluations and ADHD evaluations are separate services with different appointment lengths, assessment components, and pricing. Please review the options before submitting your request.

Submit Your Request

Complete the short form. Takes about 2 minutes.

We Review & Respond

Gretchen reviews your request and offers 2–3 available times within 1 business day.

Confirm & Register

Your appointment is confirmed after registration and payment arrangements are completed. Payment accepted via Stripe, Zelle, or Venmo.

Self-Pay Rates

Psychiatric Evaluation$325

Essential ADHD Assessment$395

Comprehensive ADHD Package$525

Follow-Up / Medication Mgmt$165

View Full Fee Schedule

Appointment Request Form

All fields marked * are required. Appointment times are not confirmed until registration and payment arrangements are completed.

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Visit Type *

Psychiatric Evaluation

Comprehensive evaluation for anxiety, depression, mood, sleep, and stress-related mental health conditions.

$325

Essential ADHD Assessment

Streamlined ADHD evaluation with QBCheck objective testing. Note: a separate follow-up visit is required to receive results.

$395 + follow-up visit

Comprehensive ADHD Diagnostic Package

Full ADHD evaluation with QBCheck testing plus the follow-up results visit included — bundled at a discounted rate.

$525 — follow-up included

Follow-Up / Medication Management

Ongoing visit for established patients — monitoring, medication adjustments, and continued care.

$165

Preferred Days *

Preferred Times

Additional Notes

Acknowledgements *

I have reviewed the self-pay pricing on the Self-Pay & Fees page and understand the rates for my selected appointment type.

Appointments are not confirmed until registration and payment arrangements are completed. Submitting this form is a request only — not a confirmed booking.

You will receive a response within 1 business day with available appointment times.

✓

Request Received!

Thank you. Your appointment request has been received.

Please allow 1 business day for review. Appointment times are not confirmed until registration and payment arrangements are completed.

What Happens Next

Gretchen reviews your request and selected visit type
You'll receive an email with 2–3 available appointment times
Once you confirm a time, you'll receive registration and payment instructions
Your appointment is confirmed after registration and payment are complete