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Evaluation 08

Second Opinions & Record Review

For a prior report that does not fit the clinical picture.

Existing testing data and records are reviewed against current standards. Where the question remains open, the necessary measures are re-administered — rather than repeating an entire battery you have already completed.

Format
Virtual
Review
1–2 weeks
Re-testing
As needed
Fee from
$950

Who this is for

This evaluation fits

  • 01Patients holding a report that does not match their experience
  • 02Physicians questioning the conclusions of prior testing
  • 03Adults told they do or do not have ADHD after a brief screening
  • 04Families weighing a significant decision on contested findings

Common reasons people come

What brings people here

Conclusions that do not fit

A screening that felt too brief

Conflicting opinions

A diagnosis made without testing

A physician requested review

A major decision ahead

What the evaluation includes

Measured, not estimated

Each area below is assessed with validated, age-normed measures and interpreted together rather than in isolation.

01Data quality
02Norm selection
03Validity evidence
04Differential reasoning
05Missing measures
06Interpretation
07Recommendations
08Documentation
09Next steps
01

Full record review

Prior raw data, reports, medical records, and imaging read against current standards.

02

Methodology assessment

Whether the right measures were used, correctly normed, and correctly interpreted.

03

Targeted re-testing

Only the measures needed to resolve the open question, not the entire battery again.

04

Written opinion

A clear statement of where the prior conclusions hold and where they do not.

Expected timeline

From first call to feedback

A small number of evaluations are scheduled each month, so each stage receives the hours it requires.

  1. Consultation

    15 minutes

    A short call to define what remains unresolved.

    Step 1 of 4
  2. Records

    Week 1

    Prior data and reports collected and reviewed.

    Step 2 of 4
  3. Targeted testing

    If indicated

    Selected measures re-administered where the question requires it.

    Step 3 of 4
  4. Written opinion

    Week 2

    Findings and recommendations delivered and discussed.

    Step 4 of 4

What patients receive

What you leave with

01

An independent opinion

A direct statement of what the prior data supports and what it does not.

02

Methodological clarity

An explanation of how the earlier conclusions were reached and where they fall short.

03

Resolution or a path to it

Either a settled answer or a precise plan for the testing that would settle it.

04

A usable summary

Documentation your physician can act on without further interpretation.

Frequently asked

Questions people ask first

Do I need my raw testing data?

It helps considerably. Prior raw data can typically be released to another psychologist on request, and guidance on obtaining it is provided.

Will I have to repeat all the testing?

Usually not. Only the measures needed to resolve the open question are re-administered.

How recent must the prior testing be?

Testing within roughly two years is most useful for review. Older testing may still serve as a baseline for comparison.

Will you simply confirm what I hope to hear?

No. The opinion follows the evidence, which is the only reason a second opinion carries weight.

Clear next steps

How to begin

01

Request a consultation

A complimentary 15-minute call to describe what you are noticing and hear whether this evaluation answers your question.

02

Receive an estimate

A Good Faith Estimate and a written plan for scheduling arrive before any work begins.

03

Reserve your dates

Interview and testing sessions are scheduled together, so the full timeline is known from the start.

Also offered

While you wait

The Brain Blueprint™

Written work from this practice — plain-language guides to attention, memory, habit, and recovery. A one-page primer is free to download.

Next step

What happens next

Messages are answered within one business day. Consultations are usually available the same week.

  1. 01

    Book a 15-minute call

    Nothing is scheduled or charged at this stage.

  2. 02

    We decide together

    Which evaluation answers your question, what it costs, and when it can be held.

  3. 03

    You receive it in writing

    Dates, fees, and a Good Faith Estimate, before anything begins.