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Request a Child or Adolescent Evaluation

If you are concerned about your child’s development, communication, attention, learning, behavior, social interaction, or emotional well-being, you are welcome to submit an evaluation request.
 

You do not need to know which type of evaluation your child needs before reaching out. Provide some general information about your concerns, and Dr. McDermott will review your request and contact you to discuss whether an evaluation may be appropriate, current availability, and possible next steps.
 

Submitting this form does not commit your family to scheduling an evaluation and does not guarantee an appointment.​

Evaluation Request Form

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Please provide only brief, general information in this form. Do not include detailed medical or mental health history, insurance identification numbers, medical records, school records, or other highly sensitive information. If additional information is needed, Dr. McDermott will explain how to provide it through an appropriate process.​

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Preferred contact method
Preferred contact times
Child's Age
Type of evaluation
Areas of concern

Limit: 700 characters


Please provide only a short, general description. Detailed records and clinical information should not be submitted through this form.

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