Request an Evaluation Intake

This practice provides structured diagnostic evaluations and consultation services for adolescents and adults.

All intake requests are reviewed prior to scheduling to determine clinical appropriateness and scope of service.

WHO THIS SERVICE IS FOR

This Practice Is Best Suited For:

Individuals seeking diagnostic clarification
ADHD and executive functioning evaluations
Neurocognitive assessment
Medical clearance evaluations (e.g., bariatric, pain procedures)
Complex or treatment-resistant presentations
Documentation for academic, workplace, or medical decision-making

This Practice Does Not Provide:

General weekly supportive counseling
Therapy for everyday stress or relationship concerns
Emergency or crisis services
Court-ordered custody evaluations

Referral Information

Primary Reason for Evaluation

Brief Description of Concerns

Prior Diagnosis?

Yes No

Current Treatment

Currently in therapy? Currently on psychiatric medication?

I understand records may be requested prior to scheduling. I understand this is a diagnostic evaluation service and not general weekly therapy. I confirm I am physically located in a state where the clinician holds active licensure.

EMERGENCY DISCLAIMER

Important

If you are experiencing a mental health emergency, suicidal thoughts, or immediate risk of harm, please call 911 or go to your nearest emergency room.

Dr. Carnell Colebrook-Claude, PhD

Clinical, Health, Forensic, & Neuropsychology Concentrations

PhD, LCPC, LIMHP, LPCC, LPC, NCC, BC-TMH, ACS, CCTP-II, EMDR-C, ADHD-CCSP, ASDCS, CVMHP, CCISM, C-PD, CYMHS, CAIMHP, CFNIP, CMNCS

Request an Evaluation Intake