Key points
- The person being evaluated has to be physically in West Virginia, or another state where we see clients, for every video appointment.
- Every West Virginia school has a Student Assistance Team, and public schools decide special education eligibility themselves under Policy 2419.
- The West Virginia Department of Education says a diagnosis from a medical or mental health professional does not automatically mean a student qualifies for special education.
- For work, the EEOC describes documentation that explains functional limits in plain language, not a stack of medical records.
- If there is a deadline, plan backward from it and say so when you first get in touch.
Begin with whoever is asking
Sometimes the question is purely your own: you want to know whether ADHD explains what you have lived with. Often, though, someone else has asked for an evaluation, and that changes what the report needs to address. A few minutes spent on the phone or by email with them can save a lot of back and forth later.
- A school: ask whether it has already started its own process and what it plans to assess.
- An employer: ask human resources what form or letter it uses for accommodation requests.
- A college or training program: ask the disability services office for its documentation guidelines.
- A prescriber: ask what they would want to see in a report before talking about treatment.
Joining from inside West Virginia
Online care follows the person, not the address on file. Each appointment has to be joined while the person being evaluated is physically in West Virginia, or in Pennsylvania or Arizona, the other states where we see clients. If you commute across the state line for work, plan to join from home.
The National Institute of Mental Health lists a mental health assessment and diagnosis among the services people can receive virtually. It also notes the practical side: you need an internet connection and a device such as a smartphone or computer, and a visit can feel less private if others nearby can overhear. In parts of the state where connections are patchy, a quick test call beforehand is worth the time.
What West Virginia public schools handle themselves
Families sometimes assume a private evaluation is the only way to get answers for a child. Public schools have their own responsibilities. Special education in West Virginia is governed by Policy 2419, Regulations for the Education of Students with Exceptionalities, which the state Department of Education says follows the federal Individuals with Disabilities Education Act and state law. The current version took effect on March 13, 2023.
According to the Department, there is a Student Assistance Team in every West Virginia school, and anyone can refer a child to it once the child shows signs of needing help. The team includes administrators, teachers, school counselors and other specialists, and it may invite parents and others who work with the student. The Department encourages parents to contact the school as soon as they notice their child needs help.
The Department is also clear that a diagnosed disability from a medical or mental health professional does not automatically mean a student will qualify for special education. A student who does not qualify may still be eligible for a 504 plan, which provides accommodations under a federal civil rights law. The school makes these decisions, and this is general information, not legal advice.
Documentation for work and college
The U.S. Equal Employment Opportunity Commission (EEOC) has written guidance for mental health providers whose clients ask for workplace accommodations under the Americans with Disabilities Act. It says employers may require documentation of how a condition limits job performance and how an accommodation would help, and that simply handing over medical records is not the right approach.
In the EEOC's description, helpful documentation explains in plain language the nature of the condition, how it would limit a major life activity such as concentrating without treatment, why a change at work is needed, and possibly a suggested accommodation. It also notes that a provider shares information with an employer only when the client asks and signs a release.
Colleges set their own documentation rules, so the disability services office is the place to ask. In both cases, an employer or school makes its own decision, and no evaluator can promise that a report will be accepted.
Working backward from a deadline
A start date for a new job, a semester or an exam can make an evaluation feel urgent. Planning backward from that date takes some of the pressure off.
A simple deadline plan
- Write down the date the report is needed, and ask the requester whether that date has any flexibility.
- Get the requester's requirements in writing before you book.
- Allow for an intake appointment, then one or two evaluation sessions.
- At the moment, our written report is usually ready about a month after the first evaluation appointment, so build that into your plan.
- Mention the deadline on the request form, not partway through.
Evaluations with our team
Our adult ADHD evaluation and child ADHD evaluation take place entirely by secure video for people physically located in Pennsylvania, West Virginia or Arizona. A parent or guardian arranges and takes part in any evaluation for someone under 18. The evaluation ends with the findings explained in plain language, time for questions, and a written report. Our page on online therapy in West Virginia covers how video care works here.
Evaluations are private-pay, not billed to insurance, and the cost is given in writing before anything is scheduled. A sliding scale is available, and you can see what evaluations cost. To begin, send the short evaluation request form or book a free 15-minute consultation on our booking page.
Whatever the evaluation shows, support is available afterward. Therapists on our team offer ADHD therapy by video as a separate service. If you or someone you care for is in crisis, call or text 988, or call 911. Locascio Wellness does not provide emergency services.
Common questions
Should I ask my child's West Virginia school before arranging a private evaluation?
It is usually a good first step. The West Virginia Department of Education says every school has a Student Assistance Team and encourages parents to contact the school as soon as they notice a need. Ask what the school has already tried or plans to assess. A private evaluation can then add to that picture rather than repeat it.
What if my employer wants a letter rather than a full report?
Ask human resources exactly what it needs. EEOC guidance says employers may ask for documentation of how a condition limits job performance and how an accommodation would help, explained in plain language. Share the employer's request with us before you book, so we can tell you whether an evaluation fits what they are asking for. We cannot promise an employer will accept any document.
Can I join the appointments from my phone?
A phone can work, though a tablet or computer is often easier for longer conversations. What matters most is a steady internet connection, a private place where you can talk freely, and being physically in West Virginia, Pennsylvania or Arizona during each appointment. If anything about the technology worries you, raise it at the free consultation.
Could the evaluation find something other than ADHD?
Yes. The CDC notes that there is no single test for ADHD and that sleep disorders, anxiety, depression and certain learning disabilities can have similar symptoms. A careful evaluation considers those possibilities, so it may point to ADHD, to something else, or to more than one thing. No one can say in advance what an evaluation will find.
Sources
- West Virginia Department of Education: Special Education Eligibility Categories
- West Virginia Department of Education: Special Education Policies and Standards (Policy 2419)
- U.S. Equal Employment Opportunity Commission: The Mental Health Provider's Role in a Client's Request for a Reasonable Accommodation at Work
- National Institute of Mental Health: Getting Mental Health Support Virtually
- Centers for Disease Control and Prevention: Diagnosing ADHD
- 988 Suicide & Crisis Lifeline
Published by Locascio Wellness. Published October 16, 2026. This page is general information, not medical advice or a diagnosis.