Adult ADHD evaluation
Most adults who suspect ADHD have never had a full workup. They have had a questionnaire, or twelve minutes, or an app. We do the whole thing, including the labs that almost nobody runs, because several treatable conditions look exactly like adult ADHD.
Cory Fowler, FNP-C (Utah) and Rayna Fowler, FNP-C (Utah and California). Telehealth for adults physically located in Utah or California. California patients are seen by Rayna Fowler, FNP-C. The evaluation is $200, the same as every first visit at Align, and runs 45 minutes. Follow-up visits, if any, are $200 and run 30 minutes.
Read this before you book
We would rather you know exactly how we work than have you find out after you have paid. If any of this is a dealbreaker, we are not the right practice for you, and that is a completely fine outcome.
You complete the questionnaires at home so your appointment time goes to your actual history rather than paperwork. Then one 45-minute evaluation visit with your provider. You walk out with an answer.
There is no blood test for ADHD. The diagnosis comes from your history: what the symptoms are, how long they have been there, when they started, and where they cause problems. That is the whole basis for it.
Labs do a different job. Thyroid disease, low iron, low B12, low vitamin D and untreated sleep apnea all produce inattention and fatigue that looks like ADHD. They are common, and they get missed. We order labs at your first visit so we can see whether something else is contributing, or explaining the whole picture.
If the labs come back clean, the diagnosis still rests on your history. If something turns up, you know about it either way.
If you have been evaluated or treated before, bring what you have. None of it is required, and not having it does not delay your visit. A prior diagnosis is evidence we take seriously; if you would rather we request records directly, we will send you a release to sign.
Your provider decides based on what the evaluation and labs actually show, not on what was requested. If a diagnosis fits and treatment is clinically appropriate, options are part of the conversation, including approaches that are not medication. If treatment is indicated ongoing, you are seen at least every three months, because we do not manage anyone we are not actually seeing.
That happens, and when it does we tell you plainly and we tell you what we found instead. For a lot of people that turns out to be the more useful answer.
What the evaluation includes
Before your evaluation you complete the screening questionnaires and history forms at home, which is what makes a focused 45-minute visit work. Your time with us is spent on judgment, not paperwork. All three parts below happen inside that one visit.
The differential
This is the part other evaluations skip, and it is why people end up treated for years for something they never had. Every one of these is common, checkable, and treatable.
In a healthy-looking adult it often does not look like snoring. It looks like brain fog, irritability, and being unable to hold attention through an afternoon. We screen everyone.
Ferritin can sit at the bottom of the range while a standard blood count reads perfectly normal. Restlessness, poor concentration, and exhaustion follow. Rarely checked, easily corrected.
Both directions cause attention and energy problems. A single screening number often misses it, so we look wider.
Both are common, both affect cognition and mood, and both are simple to test and to fix.
These overlap heavily with ADHD and frequently travel with it. Sorting out which is driving what changes the entire treatment plan.
The labs are ordered at your first visit and reviewed at your third. Iron studies, thyroid, B12, folate, vitamin D, a metabolic panel, and screening for sleep apnea, mood, and substance use. We tell you what they cost before we order anything.
Sometimes we find one of these and the picture resolves. Sometimes we find one of these and ADHD, which is common. Sometimes the workup is clean and the diagnosis is straightforward. All three are useful outcomes, and you cannot know which one you are without doing the work.
Pricing
The evaluation
$200
45 minutes · video
The same $200 as every first visit at Align. A DSM-5-TR evaluation with validated instruments, a structured diagnostic interview, and a written diagnostic summary, all inside one 45-minute visit.
Follow-up visits (if treatment is indicated)
$200
30 minutes · video
The same $200 as every other follow-up visit at Align. If treatment is indicated, ongoing visits happen at least every three months. Labs are billed separately at cost and quoted before we order.
We are more expensive than an app that will send you a questionnaire, and considerably less expensive than full neuropsychological testing, which usually runs into the thousands and has a months-long wait. You see the price before you book and there is no bill afterward that you did not expect.
An honest note
Prescribe without an evaluation. For anyone, for any reason. The 45-minute evaluation comes first.
Skip the labs. They are the reason this evaluation is worth more than a questionnaire, and they are not optional.
Continue a plan we have not reviewed. If you were treated elsewhere, we need the records, and we still do the evaluation.
Tell you what you want to hear. Some evaluations end with a diagnosis. Some end with sleep apnea, low ferritin, or an anxiety disorder nobody ever treated. We report what we find.
Every visit $200 · 45 min first, 30 after
We’ll text you within one business day to confirm care path and pricing tier. Then we send your detailed intake form and, after your provider reviews it, a lab order. You draw labs, then we meet for your initial visit (paid at booking) where we cover your story, review your labs, and build your protocol in one go.
We’ll walk you through exactly what the evaluation involves and tell you honestly whether we’re the right practice for what you’re describing. No pressure, no upsell.