{"id":35232,"date":"2023-11-17T14:30:22","date_gmt":"2023-11-17T19:30:22","guid":{"rendered":"https:\/\/adhdonline.com\/?page_id=35232"},"modified":"2025-10-24T15:12:27","modified_gmt":"2025-10-24T19:12:27","slug":"assessment-referral","status":"publish","type":"page","link":"https:\/\/adhdonline.com\/assessment-referral\/","title":{"rendered":"Assessment Referral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"35232\" class=\"elementor elementor-35232\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-909da1f e-flex e-con-boxed e-con e-parent\" data-id=\"909da1f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6ba9940 e-con-full e-flex e-con e-child\" data-id=\"6ba9940\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4cfc8a elementor-widget elementor-widget-heading\" data-id=\"d4cfc8a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Assessment Referral<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-446894a elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"446894a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tWe proudly partner with Primary Care Providers to bring our secure and comprehensive online ADHD Assessment to patients. We offer an ADHD diagnosis or exclusion, screen for related conditions such as Anxiety, Depression, Binge Eating Disorder, and Problematic Social Media Use, and provide Medical Treatment. We believe everyone should have access to mental health care.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94e9bba elementor-mobile-align-center elementor-align-center elementor-widget elementor-widget-button\" data-id=\"94e9bba\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#refer-form\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Refer your patient<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0e1ece6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0e1ece6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4643f8e\" data-id=\"4643f8e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2c15f3 elementor-widget elementor-widget-heading\" data-id=\"e2c15f3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our Diagnostic Evaluation <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74b79a2 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"74b79a2\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"145\" height=\"194\" viewBox=\"0 0 145 194\" fill=\"none\"><path d=\"M130.201 3.2168H14.7953C8.39958 3.2168 3.21484 8.40154 3.21484 14.7972V179.162C3.21484 185.558 8.39958 190.743 14.7953 190.743H130.201C136.597 190.743 141.781 185.558 141.781 179.162V14.7972C141.781 8.40154 136.597 3.2168 130.201 3.2168Z\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-miterlimit=\"10\"><\/path><path d=\"M52.7539 53.1152H118.647\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M52.7539 82.3496H118.647\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M52.7539 140.844H118.647\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M52.7539 111.597H118.647\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M24.8984 74.2822L40.5449 89.9416\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M40.5449 74.2822L24.8984 89.9416\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M43.6736 42.2812L28.0142 57.9277L21.7737 50.1045\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M43.6733 102.436L28.014 118.082L21.7734 110.259\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M43.6733 131.862L28.014 147.509L21.7734 139.686\" stroke=\"#4A84C5\" stroke-width=\"4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01a87f1 elementor-widget elementor-widget-text-editor\" data-id=\"01a87f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tOur rigorous Diagnostic Evaluation questionnaire uses reactive logic based on a number of leading clinical frameworks. This allows us to collect pertinent information in a <a class=\"wpil_keyword_link\" title=\"comprehensive\" href=\"https:\/\/adhdonline.com\/clinically-comprehensive-assessment\/\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"669\">comprehensive<\/a> and thorough fashion &#8211; at the patient&#8217;s pace &#8211; while removing barriers of access for the patient.\n<br><\/br>\nLicensed psychologists analyze each Assessment and, if appropriate, provide a diagnosis consistent with clinical criteria. Our Diagnostic Evaluation is available in all 50 states and results are delivered within 5 days. We currently offer Medical Treatment in 40 states while seamlessly supporting patients who wish to take assessment results back to their own providers.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-33329b8\" data-id=\"33329b8\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ba5b301 elementor-widget elementor-widget-heading\" data-id=\"ba5b301\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our Assessment Process<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-edaa968 elementor-widget elementor-widget-pp-timeline\" data-id=\"edaa968\" data-element_type=\"widget\" data-settings=\"{&quot;direction&quot;:&quot;left&quot;,&quot;layout&quot;:&quot;vertical&quot;,&quot;card_arrow&quot;:&quot;yes&quot;,&quot;animate_cards&quot;:&quot;yes&quot;,&quot;direction_tablet&quot;:&quot;left&quot;,&quot;direction_mobile&quot;:&quot;left&quot;}\" data-widget_type=\"pp-timeline.default\">\n\t\t\t\t\t\t\t<div class=\"pp-timeline-wrapper\">\n\t\t\t\n\t\t\t<div class=\"pp-timeline pp-timeline-vertical pp-timeline-left pp-timeline-arrows-top\">\n\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-connector-wrap\">\n\t\t\t\t\t\t<div class=\"pp-timeline-connector\">\n\t\t\t\t\t\t\t<div class=\"pp-timeline-connector-inner\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"pp-timeline-items\">\n\t\t\t\t\t\t\t\t<div class=\"pp-timeline-item pp-timeline-item-left elementor-repeater-item-0ceee68 pp-timeline-item-hidden\">\n\t\t\t\t<div class=\"pp-timeline-card-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-arrow\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card-content\">\n\t\t\t\t\t\t\t\t<p><a href=\"#refer-form\"><span style=\"text-decoration: underline;\"><span style=\"font-weight: 400;\">Refer your patient<\/span><\/span><\/a><span style=\"font-weight: 400;\"> to us for an ADHD Assessment.\u00a0<\/span><\/p>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-marker-wrapper\">\n\t\t\t\n\t\t\t<div class=\"pp-timeline-marker\">\n\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg\" class=\"attachment-large size-large wp-image-35247\" alt=\"image\" srcset=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 150w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 300w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 1024w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 1536w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 2048w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-1.svg 60w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"pp-timeline-card-date-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"pp-timeline-item pp-timeline-item-right elementor-repeater-item-97e4833 pp-timeline-item-hidden\">\n\t\t\t\t<div class=\"pp-timeline-card-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-arrow\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card-content\">\n\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Your patient can take the Assessment wherever, whenever they choose and at their own pace.<\/span><\/p>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-marker-wrapper\">\n\t\t\t\n\t\t\t<div class=\"pp-timeline-marker\">\n\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg\" class=\"attachment-large size-large wp-image-35246\" alt=\"image\" srcset=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 150w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 300w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 1024w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 1536w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 2048w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-2.svg 60w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"pp-timeline-card-date-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"pp-timeline-item pp-timeline-item-left elementor-repeater-item-e5b95b2 pp-timeline-item-hidden\">\n\t\t\t\t<div class=\"pp-timeline-card-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-arrow\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card-content\">\n\t\t\t\t\t\t\t\t<p>A licensed psychologist will review the Assessment and create 2 reports:<\/p><p><style>\n.diamond-bullet {<br \/>    list-style-type: none;<br \/>    padding-left: 1.5em;<br \/>padding-bottom: 1em;<br \/>    background-image: url('https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/06\/key-primary-blue.svg');<br \/>    background-size: 1em;<br \/>    background-repeat: no-repeat;<br \/>}<\/p>\n<p>.list-style-image  {<br \/>margin-left: -1.8em; \/* -2.6*\/<br \/>padding-top:2em;<br \/>}<br \/><\/style><\/p><ul class=\"list-style-image\"><li class=\"diamond-bullet\">Patient report: includes a diagnosis or exclusion of ADHD as well as the results of our screenings for anxiety, depression, binge eating disorder, and problematic social media use.<\/li><li class=\"diamond-bullet\">Physician report: sent directly to you, includes recommended next step for you and your patient in addition to a diagnosis or exclusion of ADHD as well as the results of our screenings for anxiety, depression, binge eating disorder, and problematic social media use.<\/li><\/ul>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-marker-wrapper\">\n\t\t\t\n\t\t\t<div class=\"pp-timeline-marker\">\n\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg\" class=\"attachment-large size-large wp-image-35245\" alt=\"image\" srcset=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 150w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 300w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 1024w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 1536w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 2048w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-3.svg 60w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"pp-timeline-card-date-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"pp-timeline-item pp-timeline-item-right elementor-repeater-item-0af0fab pp-timeline-item-hidden\">\n\t\t\t\t<div class=\"pp-timeline-card-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-arrow\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-card-content\">\n\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Your patient may return to you for treatment or explore treatment with our network of physicians.<\/span><\/p>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-timeline-marker-wrapper\">\n\t\t\t\n\t\t\t<div class=\"pp-timeline-marker\">\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg\" class=\"attachment-large size-large wp-image-35244\" alt=\"image\" srcset=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 150w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 300w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 1024w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 1536w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 2048w, https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/11\/blue-gradient-4.svg 60w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"pp-timeline-card-date-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-e915768 e-flex e-con-boxed e-con e-parent\" data-id=\"e915768\" data-element_type=\"container\" id=\"refer-form\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14dab20 elementor-widget elementor-widget-heading\" data-id=\"14dab20\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Refer your patient<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5c3162 elementor-widget elementor-widget-heading\" data-id=\"c5c3162\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">*If your patient does not see the referral email in their inbox within a few minutes, please have them check their Spam or Junk folder for a message from&nbsp;<a class=\"ql-link\" href=\"mailto:carenavigators@adhdonline.com\" rel=\"noopener noreferrer\" target=\"_blank\">carenavigators@adhdonline.com<\/a><\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-27ccdcb e-flex e-con-boxed e-con e-parent\" data-id=\"27ccdcb\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d3339b1 elementor-widget elementor-widget-html\" data-id=\"d3339b1\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script charset=\"utf-8\" type=\"text\/javascript\" src=\"\/\/js.hsforms.net\/forms\/embed\/v2.js\"><\/script>\n<script>\n  hbspt.forms.create({\n    portalId: \"21221632\",\n    formId: \"0d175558-543f-45e2-a585-d2f0f83face2\",\n    region: \"na1\"\n  });\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ca7c34d elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ca7c34d\" data-element_type=\"section\" id=\"refer-form\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b83b023\" data-id=\"b83b023\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d39b5e6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d39b5e6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0a026ba\" data-id=\"0a026ba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e68d8d elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"0e68d8d\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"38\" height=\"38\" viewBox=\"0 0 38 38\" fill=\"none\"><path d=\"M18.5641 0.254627C13.478 9.17868 9.16698 13.4952 0.254302 18.5877C-0.0847674 18.7817 -0.0847674 19.2668 0.254302 19.4123C9.16698 24.5048 13.478 28.8213 18.5641 37.7454C18.7578 38.0849 19.2422 38.0849 19.3875 37.7454C24.522 28.8698 28.833 24.5533 37.7457 19.4123C38.0848 19.2183 38.0848 18.7332 37.7457 18.5877C28.833 13.4952 24.522 9.17868 19.3875 0.254627C19.2422 -0.0848756 18.7578 -0.0848756 18.5641 0.254627Z\" fill=\"#81C6EC\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49530b9 elementor-widget elementor-widget-heading\" data-id=\"49530b9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Refer your patient<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70eb3da elementor-widget elementor-widget-heading\" data-id=\"70eb3da\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">We adapt to your needs<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aecd846 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"aecd846\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Option 1:<\/strong> <span style=\"font-weight: 400;\">Fill out this form and our referral coordinator will reach out to the patient with next steps.<\/span><\/p><p><strong>Option 2:<\/strong> Complete a referral through your EMR and submit via digital fax to us at 616-210-3004.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-008b213\" data-id=\"008b213\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c8e2fe2 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"c8e2fe2\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Refer a new patient\" aria-label=\"Refer a new patient\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"35232\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"c8e2fe2\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Assessment Referral - ADHD Online\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"35232\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPatient name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Patient name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPatient Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-lg  elementor-field-textual elementor-date-field\" placeholder=\"* Patient Date of Birth\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_3390dbf elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3390dbf\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPatient email\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_3390dbf]\" id=\"form-field-field_3390dbf\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Patient email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-message elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPatient phone number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[message]\" id=\"form-field-message\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Patient phone number\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3b2d3b7 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3b2d3b7\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tReferring physician\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3b2d3b7]\" id=\"form-field-field_3b2d3b7\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Referring physician\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fc22e88 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fc22e88\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhysician phone number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_fc22e88]\" id=\"form-field-field_fc22e88\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Physician phone number\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_69779c0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_69779c0\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPhysician fax number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_69779c0]\" id=\"form-field-field_69779c0\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Physician fax number\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_23a8d8d elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_23a8d8d\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tReferring organization\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_23a8d8d]\" id=\"form-field-field_23a8d8d\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"* Referring organization\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_d18588b elementor-col-100 recaptcha_v3-inline\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_d18588b\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LeDa3IiAAAAAFXNPP8p-_qLPm0V6LtaMTD59F_n\" data-type=\"v3\" data-action=\"Form\" data-badge=\"inline\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit referral<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-6a98043 e-flex e-con-boxed e-con e-parent\" data-id=\"6a98043\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-765dd99 e-con-full e-flex e-con e-child\" data-id=\"765dd99\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-21f6887 elementor-widget elementor-widget-image\" data-id=\"21f6887\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2025\/03\/providerlp.jpg\" class=\"attachment-large size-large wp-image-38067\" alt=\"image\" srcset=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2025\/03\/providerlp.jpg 800w, https:\/\/adhdonline.com\/wp-content\/uploads\/2025\/03\/providerlp-300x200.jpg 300w, https:\/\/adhdonline.com\/wp-content\/uploads\/2025\/03\/providerlp-768x513.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dfd36b1 e-con-full e-flex e-con e-child\" data-id=\"dfd36b1\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a557ed6 elementor-widget elementor-widget-heading\" data-id=\"a557ed6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">We're here to work with you<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b8eb63 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1b8eb63\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Our primary goal is to streamline access to mental health care for patients and providers alike. We\u2019ve developed a flexible system so you can choose the level of partnership you prefer: we can assess patients, assess and offer treatment, assess, offer, and manage treatment, or any combination that works for you and your patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9a15a05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9a15a05\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2bd98c5\" data-id=\"2bd98c5\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fd274d elementor-widget elementor-widget-image\" data-id=\"9fd274d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/06\/orange-diamond.svg\" title=\"orange-diamond\" alt=\"orange-diamond\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eef7a92 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"eef7a92\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">We believe that the mind and body are interconnected<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b22b30 elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"1b22b30\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">We encourage our patients to get annual physical exams, and we seek to foster regular communication between our providers, our patients, and the rest of the patients\u2019 care teams.\u00a0 We strongly believe that the best care is possible only through a well-connected team of care providers.\u00a0\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e71284a elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e71284a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e32e137\" data-id=\"e32e137\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0c4ba90 elementor-widget-mobile__width-initial elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"0c4ba90\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Note<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-687533d elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"687533d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The DEA may require in-person exams \nfor some telemedicine treatment plans\u00a0<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1bf237 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d1bf237\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>If you anticipate that your patient may receive telemedicine treatment with ADHD Online, you may wish to complete the in-person referral form now to ensure uninterrupted treatment regardless of changes with DEA requirements at the end of November 2024. Note that some states may already require a referral on file.<\/p><p>We believe that the mind and body are interconnected. We encourage our patients to get annual physical exams, and we seek to foster regular communication between our providers, our patients, and the rest of the patients\u2019 care teams.\u00a0 We strongly believe that the best care is possible only through a well connected team of care providers.\u00a0\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8ee885 elementor-widget elementor-widget-image\" data-id=\"a8ee885\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/adhdonline.com\/wp-content\/uploads\/2023\/06\/orange-diamond.svg\" title=\"orange-diamond\" alt=\"orange-diamond\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Assessment Referral We proudly partner with Primary Care Providers to bring our secure and comprehensive online ADHD Assessment to patients. We offer an ADHD diagnosis or exclusion, screen for related conditions such as Anxiety, Depression, Binge Eating Disorder, and Problematic Social Media Use, and provide Medical Treatment. We believe everyone should have access to mental [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-35232","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/pages\/35232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/comments?post=35232"}],"version-history":[{"count":0,"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/pages\/35232\/revisions"}],"wp:attachment":[{"href":"https:\/\/adhdonline.com\/wp-json\/wp\/v2\/media?parent=35232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}