Sign up for Psychological Testing (Comprehensive Evaluation)

  • Sign up for a Comprehensive Evaluation

  • At The Luminous Mind, psychological testing services are offered exclusively in the form of Comprehensive Evaluations. These evaluations include both insurance-covered, medically necessary components and non-covered components for which clients are responsible for paying out of pocket.

     

     

    Insurance-Covered Services
    The following services are considered medically necessary and may be billed to insurance:

    • Diagnostic interview
    • Psychological test administration and scoring
    • Clinical interpretation and diagnosis
    • Medical-necessity report writing

    These services are billed to insurance using appropriate CPT codes when we are in-network. If we are out-of-network, a superbill can be provided for possible reimbursement.

    Non-Covered Services (Not Billable to Insurance)

    1. Enhanced Reporting & Documentation

    • Customized Planning Document:
      An executive summary translating clinical findings into clear, non-clinical language, including prioritized goals and individualized recommendations.
    • Resource Mapping:
      A curated list of relevant resources (e.g., tutoring, vocational programs, support groups) tailored to the client’s needs.

    2. Extended Integration & Advocacy Support

    • Extended Integration Sessions:
      Additional time beyond standard feedback to support deeper understanding, processing, and Q&A.
    • Formal Third-Party Consultation:
      Consultation with non-medical parties at the client’s request (e.g., coordination with therapists or schools).
    • Parent/Family Coaching:
      Practical guidance focused on home, academic, and behavioral strategies (distinct from therapy services).

    3. Comprehensive Diagnostic Exploration

    • Neuroaffirming Assessment Processes:
      Flexible, individualized assessment approaches (e.g., pacing, breaks, sensory accommodations) to support accuracy, safety, and engagement. These often require additional professional time beyond standard insurance allowances.
    • Elective Screening and Exploration:
      Additional clinical exploration, including rule-outs, differential diagnosis, or client-requested areas of assessment.

    Non-Covered Fee
    A $750 flat fee applies to the non-covered components of the Comprehensive Evaluation. This fee reflects the professional time and resources required to provide the services described above.

    • The fee provides access to the full range of non-covered services
    • It does not guarantee that every service listed will be provided
    • Services are determined based on:
      • clinical appropriateness
      • assessment findings
      • the client’s needs and requests

    What This Means for You

    • Clients who choose to proceed will complete a Non-Covered Services Agreement prior to scheduling
    • Insurance may cover portions of the evaluation; however, clients are responsible for non-covered components
    • The $750 fee is required at the time of scheduling
    • Clients with Medical Assistance (PMAP) or financial need may qualify for a reduced rate

    Self-Pay Option
    Clients who are uninsured or out-of-network may elect to complete the Comprehensive Evaluation on a self-pay basis at a flat rate of $2,500.

    • $1,250 (50%) deposit due at scheduling
    • Remaining balance due prior to release of the final written report

    Scheduling Psychological Testing

    • paperwork must be completed prior to scheduling
    • Insurance will be verified upon receipt of materials
    • Additional documents will be sent through the client portal
    • Completion places clients on a cancellation list (may allow earlier scheduling)

    Scheduling timeline:

    • Typically 2–4 weeks prior to an opening
    • May be sooner if cancellations occur

    At time of scheduling:

    • Insured clients → charged $750 non-covered fee
    • Self-pay clients → charged $1,250 deposit

    Questions
    For questions, please contact:

    AJ Bantley
    📞 612-276-2466
    ✉️ contact@theluminousmind.com

  • I am completing this form for:

  • Client's Demographic Information

    This demographic survey is meant to streamline your appointment. You do not need to spend a great deal of time on this. If your clinician has clarifying questions, they will ask you during your appointment. Brief statements are sufficient for most questions. All questions on this form relate to the client. Thus, if you are filling out for a minor and the question says "you," it is referring to the minor client.
  • Please indicate which of the following ethnic/cultural/racial identities describe you. Select all that apply.*
  • Do you require an interpreter?*

  • Contact Information

  • Format: 000-000-0000.
  • May we leave detailed voicemails if needed?*
  • Relationship Status*
  • Employment status*

  • Emergency Contact Information

  • Format: 000-000-0000.

  • Health Information & History

  • Would you like your provider to speak with your primary care provider or any other care provider?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Indicate if you have been diagnosed with any of the following. Select all that apply.*
  • Do you have any current mental health diagnoses?*
  • Do you take any current medications for medical or mental health purposes?*
  • Are you currently receiving any of the following services?*
  • Rows

  • Familial/Relational Information

  • Do you have any children (if applicable)?

  • Developmental Information

  • Which of the following has been experienced:
  • Select if any of the following apply to when your biological mother was pregnant with client:*
  • Rows
  • Have you received any of the following educational programs?*
  • Please indicate if any of the following describe your past or current educational experiences. Select all that apply.*
  • Level of Education*
  • Have you received psychological testing in the past?*
  • Have you ever wondered or been told that you have symptoms of any of the following? (please indicate even if you've already mentioned this information)*

  • Current & Past Symptoms

  • Select your current symptoms. Select all that apply.*
  • Are you seeking services as part of a court order or relating to legal proceedings?*
  • Have you ever been arrested?

  • Insurance Information

  • Do you have health insurance coverage?*
  • Do you have secondary health insurance coverage?*

  • Short-List for Last-Minute Cancellations

  • There is a long waiting list for testing; however, last-minute cancellations occasionally occur. Would you like to be added to the short-notice cancellation list and contacted if an appointment becomes available? Please note that the same time slot may be offered to multiple clients and will be scheduled with the first person who responds. If you are unable to accept an offered appointment, you will not lose your place on the waiting list.*
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