Assessment Packages, Fees & Forms — Hope and Inspiration Psychological Services

Forms & Fees

Assessment Packages

Hope and Inspiration Psychological Services offers comprehensive psychological and educational evaluations for children ages 4–16, and for adults by request. Self-pay packages are listed below. Each package includes all testing sessions, scoring and interpretation, a detailed written report, and a feedback appointment to review findings and recommendations with your family.

🧠
ADHD Evaluation
$1,200
self-pay
Assessment of attention, concentration, impulse control, and executive functioning across home, school, and social settings.
💬
Mental Health Evaluation
$1,500
self-pay
Evaluation for anxiety, depression, mood concerns, and behavioral difficulties to inform diagnosis and treatment planning.
📚
Learning Disability Evaluation
$1,500
self-pay
Assessment of cognitive ability and academic achievement to identify learning differences such as dyslexia, dysgraphia, or dyscalculia.
Autism Evaluation
$1,800
self-pay
Comprehensive assessment of social communication, sensory processing, and adaptive behavior using gold-standard diagnostic tools.
✏️
Educational Testing
$600
full battery — self-pay only
Comprehensive assessment of academic achievement across all subject areas. When applicable, testing may be divided by subject.
Single subject: $250
Two subjects: $450
Full battery: $600
⚠️ Please note: Educational testing is not covered by Medicaid or private/commercial insurance. This service is self-pay only.
🌟
Gifted Testing
$800
self-pay
Evaluation of intellectual ability and potential for gifted program eligibility, using standardized cognitive assessments.

Combined & Complex Evaluations

When a child presents with concerns across more than one area, evaluations are combined so that every concern is addressed thoroughly — nothing is abbreviated. The fee for a combined evaluation reflects the sum of the individual packages included.

  • ADHD + Autism → $1,200 + $1,800 = $3,000
  • ADHD + Learning Disability → $1,200 + $1,500 = $2,700
  • Autism + Mental Health → $1,800 + $1,500 = $3,300
  • ADHD + Learning Disability + Autism → $1,200 + $1,500 + $1,800 = $4,500

Insurance

We accept Medicaid — the same evaluations, covered by your plan.

All of the evaluation packages listed above are available to families with Medicaid coverage through one of our accepted plans. Please contact our office to confirm your specific benefits and to discuss next steps. We are happy to help guide you through the process.

Accepted Medicaid Plans

Partners Alliance Vaya AmeriHealth Caritas Healthy Blue Carolina Complete Health

Also Accepted

Aetna Blue Cross Blue Shield NC

Materials Fee — Self-Pay & Commercial Insurance Clients

A non-refundable $75 materials fee is required in addition to your package fee. This fee covers the testing materials used during your evaluation. It is collected at your intake appointment and a credit or debit card must be kept on file. This fee does not apply to Medicaid clients.


Client Forms

New Client Paperwork

Please complete the forms below prior to your first appointment. If you have any questions about which forms apply to you, don't hesitate to contact our office — we are happy to help.

🇺🇸 English Forms
Release of Information and Policies Acknowledgement for English-speaking clients.
Release of Information (ROI) Policies Acknowledgement
📋 Intake Forms
Complete the intake form that matches your child's age group.
Child Intake Form Adolescent Intake Form
🇪🇸 Formularios en Español
Reconocimiento de políticas y autorización de divulgación en español.
Reconocimiento de Políticas Autorización (ROI)