Financial Policies and Statement We are not contracted providers for any health insurer. Payment for services is due in the amount and on the schedule agreed upon with your clinician prior to the start of the assessment. We are able to provide a receipt for services with applicable clinical and diagnostic codes, and your health insurer may offer you some reimbursement, however: Some insurance plans do not offer reimbursement for out-of-network services. A developmental neuropsychological evaluation consists of both clinical and educational components. Clinical components include neuropsychological assessment of neurologically-based psychological functions such as memory and language. Educational components include assessment of academic skills using standardized tests, review of educational records, consultation with the teacher and school, and development and discussion of educational recommendations. Health insurers may provide coverage for clinical evaluation, but as a matter of policy do not cover educational services. In some cases, health insurers deem part or all of the clinical portion of the evaluation to be not medically necessary. Our practice sometimes contracts with schools for Independent Educational Evaluations. If you are seeking a school contract, please contact us to make preliminary arrangements. School contracts must be completed and signed before scheduling an evaluation. Your signature below indicates that you understand and consent to these policies. Signature:* Date:* Name:* Choose Clinician:* Dr. MoldoverDr. HebertDr. Benetti-McQuoid Intake Forms Menu Client Intake Form Consent and Agreement for Psychological Testing and Evaluation Notice of Privacy Practices Financial Policies and Statement Informed Consent for Telepsychology Child Custody Declaration We invite you to view our list of upcoming events and to listen to one of our past events. Our Events Parent Guide to Assessment Your Child’s Assessment and DiagnosisA Guide for Parents Read the Parent Guide New PatientIntake Packet Forms to be filled out in advanceof your upcoming appointment View Our Intake Packet Clinicians Meet Our Team