Not the fastest ADHD evaluation. The most thorough.

No. Your evaluating physician is a licensed MD, board-certified in Public Health and Preventive Medicine. Preventive Medicine is the specialty for chronic-condition management within structured longitudinal care — a natural fit for ADHD as a chronic neurodevelopmental condition. In the US, the majority of adult ADHD prescriptions are actually written by primary care physicians, and increasingly by NPs and PAs; general psychiatry residency doesn't specifically credential someone for ADHD evaluation. Up to 70% of adults with ADHD have psychiatric comorbidities, and we screen comprehensively for them. When we identify complexity beyond ADHD — active mood instability, positive MDQ, complex trauma, active substance use — we refer to a psychiatrist. Being the referrer is part of doing this responsibly.

A licensed MD, board-certified in Public Health and Preventive Medicine, with extensive experience in adult ADHD evaluation, licensed in the state where you are located. Evaluations are performed under the program's medical director, Andres Jimenez, MD. Your physician's full name, credentials and license are shown when you book, again before your visit, and on every report and Passport you receive.

No. This is an evaluation, not a diagnosis vending machine. Roughly 1 in 10 adults presenting for ADHD evaluation ultimately don't meet DSM-5 criteria — often because a different condition (sleep, mood, trauma, thyroid, sensory processing) is a better explanation for what they've been experiencing. We take diagnostic accuracy seriously in both directions. The outcome of your evaluation depends on what the evidence shows.

You receive a full evaluation report documenting what was assessed, a written explanation of why DSM-5 criteria weren't met, personalized referral suggestions based on the findings, and a "not-ADHD" letter for your PCP. That letter is often as clinically valuable as a diagnosis, because ruling out ADHD as the driver of symptoms lets your PCP focus on what actually is driving them. See a de-identified sample (PDF).

No. You're paying for the physician's evaluation time and clinical expertise, not for a specific outcome. Refunding non-diagnoses would create a financial incentive to over-diagnose — that's a fundamental conflict of interest, and it's exactly the pattern that has gotten other telehealth ADHD companies into trouble with regulators. If you'd like to see the value delivered when someone isn't diagnosed, review the "What if I'm not diagnosed?" answer above. Genuine misfits (wrong state despite state gate, under 18, withdrawal within 24 hours of starting) receive a refund minus a $49 administrative fee.

We refer — and you don't start from scratch. Every referral we make comes with a synthesized consultation letter that packages everything we already collected — Deep Intake voice sessions, screener scores, corroborating evidence, developmental history — tailored to the specific specialist receiving the referral. Instead of the specialist starting with "so tell me what's going on," they open your consultation letter and already have the picture. Common referrals we make: in-person psychiatrist for a positive MDQ (bipolar screen), mood instability, active suicidality, or complex psychiatric history; therapist / trauma specialist for complex trauma or adjustment concerns; addiction medicine for active substance use disorders; neuropsychologist for suspected learning disability requiring formal testing; sleep specialist for positive STOP-BANG (sleep apnea). Being a triage node is part of the responsibility of running a thorough evaluation — not everything is ADHD, and stimulants can be dangerous in the wrong picture. The specialist gets the letter; you get the answer faster.

Because untreated comorbidities blunt ADHD treatment response — sometimes dangerously. A patient with untreated sleep apnea won't see their executive function improve on any stimulant dose, and may pressure their prescriber to escalate the dose beyond FDA limits chasing an improvement they can't reach until the apnea is treated. Same pattern with untreated PTSD, OCD, social avoidance, and chronic digital-notification overload. Screening for these isn't a checklist exercise — it's what makes your ADHD treatment work.

Time and financial structure. Their business model bundles diagnosis with ongoing prescribing — revenue comes from monthly Rx subscriptions, so throughput and Rx retention are the operating metrics. We're the opposite. We don't prescribe, so we're not chasing prescription volume. We're paid once for the evaluation, once per renewal, regardless of whether we diagnose. That structural difference is what lets us structure a real multi-touchpoint evaluation instead of squeezing it into one short call.

The intake is on your schedule; the final visit is live. You complete the voice-first Deep Intake in short sessions over a few days at your own pace (roughly 1–2 hours spread across whatever windows fit your life), then a set of personalized questionnaires selected from your intake signals. Your physician reviews your full chart, then you pay the balance and schedule a 30-minute Zoom visit — the soonest slot is 24 hours out, during clinic hours. The diagnosis is discussed during that visit, because seeing and talking to you can't be replaced by an offline chart review alone. Total time from deposit to Passport is typically 5–10 days.

No. The ADHD Passport is a diagnostic credential — we issue it, and your own PCP (or another prescriber of your choosing) writes prescriptions using it as documentation. This is what makes the Passport portable, and it's why we can afford to be more rigorous than clinics whose revenue depends on Rx retention.

Most PCPs are looking for exactly this. A typical primary care practice runs on 15–20 minute appointment slots and isn't operationally set up for the 90-minute structured evaluations, DSM-5 protocol reviews, validated screener batteries, corroborating-evidence collection, or comorbidity panels that a real ADHD workup requires. Your PCP wants to prescribe once they have a formal diagnostic evaluation to reference — the Passport gives them exactly that, plus a QR code and verification URL to confirm authenticity in seconds. Every prescribing decision remains their independent clinical judgment.

Every Passport includes automated follow-up assessments at 3, 6, and 9 months. Same validated instruments as the baseline evaluation, so improvement is quantified objectively per domain (work, home, relationships, mood, sleep) instead of relying on a subjective "I feel a little better." The delta report goes to you and, optionally, to your PCP. Included at no additional cost.

Yes. All infrastructure is HIPAA-covered under a signed BAA with our cloud provider. The Passport verification page is opaque-token-gated (no PHI in URLs). Every access is logged. You can revoke a Passport at any time from your patient portal.

Any of the 35 states (plus Washington, DC) where our physician holds an active medical license. The state you're physically located in during your evaluation determines eligibility. If your state isn't covered, we'll notify you before you pay.