Neurodivergent-Affirming Assessment Interest Form
If you've found this form, you're likely wondering if you may be autistic or have ADHD.  Or perhaps you're interested in figuring out if any type of neurodivergence is present in the way your brain functions.  

Michelle F. Moseley, LCMHC plans to begin offering Neurodivergent-Affirming Assessments in June 2025, following her own late-identified neurodivergence and months of training to be able to offer comprehensive assessments.  These assessments will be available to adult (18+) individuals in NC, and will occur over multiple sessions (with the number of sessions dependent on specific needs and preferences of the individual).  More details about the assessment process will be available soon.  

Please complete this form if you would like to be notified when further information about the assessment process is available.  
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What is your first and last name? *
What is your age?   *
These assessments will only be available to adult (18+) individuals in North Carolina due to licensing restrictions.  Are you located in NC? *
Assessments will be provided as a self-pay service, with specific pricing available prior to June 1, 2025.  Please confirm that you understand that insurance will not be billed for these assessments.   *
Please provide an email address for follow-up contact.  (This email will only be used to contact you regarding assessment details.  Please ensure your spam filter will allow messages from owner@michellefmoseley.com) *
By checking below, I am expressing that I understand that completion of this contact form and/or engaging in a free consultation with Michelle F. Moseley Counseling, PLLC does not guarantee initiation of asessment or counseling services or scheduling availability.  I understand that until all paperwork is completed and services are initiated I am not a client of this practice. *
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