How to Get an Autism Evaluation
Route 1: Through Your Pediatrician
The most common starting point for children. Mention your concerns at a well-child visit or request a dedicated appointment. Bring written notes about what you have observed. Ask for an autism screening. If the screen is positive, ask for a referral to a developmental pediatrician. Waitlists are often long. Ask about the wait time and whether they maintain a cancellation list.
Route 2: Private Neuropsychological Evaluation
A comprehensive neuropsychological evaluation is the most thorough option. It typically takes 6-10 hours across multiple sessions and produces a detailed report. Private evaluations are often not covered by insurance. Costs range from $2,000 to $5,000. Some clinics offer sliding scale fees. University autism centers sometimes offer evaluations at reduced cost.
Route 3: Through the School System
Any parent can request a school evaluation in writing. The school has 60 days to evaluate. School evaluations are free. They focus on educational eligibility rather than comprehensive clinical assessment, but they can establish eligibility for services and an IEP. A school evaluation and a clinical diagnosis are separate things. You can have one without the other.
Adults Seeking Evaluation
Adult autism evaluation is less systematized and harder to access. Start with your primary care physician or psychiatrist and request a referral. University autism centers often see adults. Find a provider with experience in adult autism and late diagnosis, as the standard criteria were designed primarily for children.