Schedule an Evaluation

First name

Last name

Email address

Phone number

I will get in touch with you by your preferred contact method to go over first steps and set up scheduling. Please add "Leah@RidgelineCAS.com" to your safe-senders list in your email. Text messages will come from (704) 776-1632.

I understand that while this is a diagnostic assessment, it is not a full psychological evaluation and is only for purposes of providing an autism and/or ADHD diagnosis

I understand that Ridgeline Counseling and Supervision is not in network with any insurance companies at this time and I will be responsible for all costs.

Is there anything you want me to know about before we schedule an assessment?

Please note this form is not monitored 24/7 and it may take up to 2 business days to get a response. If you are experiencing a mental health emergency, you can text or call 988, or call 911 or head to your nearest emergency room.

Once you complete the form and hit "submit" you will be taken to a page where you can self-schedule a free-consultation, if you like. If you do not want to schedule a consultation first, you can close out your browser and I will contact you by your preferred method to discuss scheduling.

Your information will be encrypted.