Your ADHD Has Evolved.
Get the Comprehensive Update It Deserves.
The Signature ADHD Update Assessment and Treatment Planning
Service led by a Physician (MD), Nurse Practitioner (NP), and Psychologist/Psychological Associate Team with psychometric testing, an updated report, and a refreshed treatment plan for children, teens, and adults
MD + NP + Psychology
Expert Multidisciplinary Team
$2,700
13+ hrs All-In Assessment
Insurance
Psychology May Support
Coverage
No Referrals Required
Accepted, But Not Required
WHY NOW?
6 Reasons to Get a Signature ADHD Update Assessment
Demands change. Symptoms shift. Medications become less effective. This service supports new possibilities.
Symptoms Have Shifted
Hyperactivity in childhood often becomes internal restlessness in adults. An updated assessment captures where you are now.
New Academic Demands
Transitioning to university, graduate school, or professional programs increases cognitive load — and may expose new challenges.
Career Transition
A new role with different executive demands can change how ADHD shows up day-to-day. Get your treatment recalibrated.
Medication Plateau
What worked two years ago may not be optimal today. New medications and formulations may be a better fit.
Accommodation Renewal
Schools and employers require current documentation. Our report includes detailed accommodations.
Rule Out Comorbidities
Anxiety, depression, and other conditions can mimic or co-exist with ADHD. Our experts examine the full picture.
Your Journey
How the Signature ADHD Update Assessment Works
A clear, structured path from intake to an updated report and refreshed treatment plan – guided by a Multidisciplinary Team
1
Submit Intake Form
Complete our online form. No referral needed.
2
Report Review
We review your previous ADHD assessment for diagnostic rigour.
3
NP Intake
Clinical session with a Nurse Practitioner covering symptoms & treatment history.
4
Psychology Intake
Clinical session with a Psychologist/Psychological Associate covering functioning, explanation of testing & consent review.
5
Psychometric Testing
Standardized testing with a Psychometrist, including attention & impulsivity measures.
6
Psychology Feedback
Results, accommodations & therapy recommendations discussed.
7
Psychiatry Consultation
Physician review of treatment plan.
8
NP Treatment Planning
Personalized next steps planning with a Nurse Practitioner.
Optional: Continue to Medication Optimization & Ongoing Care
Medication Optimization
Tailored visits to find the right medication & dose. $100/visit
Continued Prescribing
Tailored check-ins (approx. every 3 months) once treatment is optimized. $100/visit
Two Options for an Updated ADHD Assessment at Possibilities
We offer two pathways to an ADHD update – know exactly what’s included in each.
| Service Component | Signature ADHD Update NP Psychologist/Psychological Associate Psychometrist Psychiatrist | ADHD Direct Update NP · Psychometrist |
|---|---|---|
| Clinical Intake | ||
| NP Intake Appointment Review of symptoms, functioning and treatment history | ✓50 minutes | ✓50 minutes |
| Intake with Psychology In-depth clinical interview with a Psychologist/Psychological Associate | ✓50 minutes | - |
| Psychometric Testing | ||
| Psychometric Testing Standardized attention and executive functioning assessment | ✓2 hours | ✓2 hours |
| Team Consultation and Reporting | ||
| Team Meeting Interdisciplinary review of findings | ✓ | - |
| Written Report Includes accommodation recommendations for school or work | ✓ Multidisciplinary Team Report | ✓ NP Report |
| Feedback and Treatment Planning | ||
| Psychology Feedback Session Results review with a Psychologist or Psychological Associate | ✓50 minutes | - |
| NP Feedback Session Medical review of results and recommended treatments | - | ✓50 minutes |
| Psychiatry Consultation Physician review of results and recommended treatments |
✓50 minutes
OHIP Covered |
- |
| NP Treatment Planning Personalized next-step planning with an NP | ✓30 minutes | - |
| Insurance Coverage Eligibility Potential eligibility through psychological services benefits | ✓ May be eligible as a Psychology Service | Check NP coverage with your insurance provider |
| Total Fees | $2,700 | $800 |
| Additional Services and Supports | ||
| Medication Optimization: Optional Add-On NP-led medication adjustment and prescribing | ✓$100 per visit | ✓$100 per visit |
* The Psychiatry Consultation for the Signature ADHD Update is billed to OHIP where applicable and is not included in the client fee. Optional Medication Optimization appointments at $100 per visit are not included in the base assessment fee for either service. For clients whose insurance provides psychology coverage, Signature ADHD Update fees may be partially or fully reimbursable. Not sure which pathway is right for you?
THE POSSIBILITIES DIFFERENCE
Why Families Across Ontario Choose Us
Real Testing, Not Just Questionnaires
A Psychometrist administers standardized cognitive and attentional testing – the gold standard for ADHD evaluation – and a Multidisciplinary Team interprets it. Many clinics rely on a brief call and self-report scales alone.
A Multidisciplinary Team
Your reassessment brings together a Physician (MD), a Nurse Practitioner (NP) & a Registered Psychologist/Psychological Associate. Medical and mental health expertise are combined so nothing gets missed.
Insurance-Eligible by Design
Because a Psychologist/Psychological Associate is part of the Assessment Team, this assessment falls under Psychological Services – so many private insurance plans will reimburse part or all of the assessment fee. Please check with your provider.
A Report You Can Actually Use
You receive a detailed report with updated accommodations for school or work, as well as therapy recommendations – not a one-paragraph note.
The Details
Appointment Outline & Fee
Here is the breakdown of appointments, durations, and the all-in assessment fee.
| Signature ADHD Update Assessment | Duration |
|---|---|
| Nurse Practitioner (NP) Intake Session | 50 min |
| Psychologist/Psychological Associate Intake Session | 50 min |
| Psychometry Testing | 2 hours |
| Psychology Feedback Session | 50 min |
| Psychiatry (MD) Consultation Session (OHIP covered) | 50 min |
| Nurse Practitioner Treatment Planning Session | 30 min |
| Total Assessment Fee | $2,700* |
The Physician (MD) component of this assessment is covered by OHIP for Ontario residents with a valid Ontario health card. Because a Registered Psychologist/Psychological Associate is included on the team, and formal psychometric testing is done, the assessment is structured to support reimbursement under many private insurance plans.
*Please check with your insurance provider to confirm coverage.
Investment
Transparent, Predictable Pricing
6 appointments covers complexity and clear steps forward
Signature ADHD Update Assessment and Treatment Planning Service – MD, NP & Psychology Team
- Medical Intake with a Nurse Practitioner (NP) covering current symptoms, and past and present treatments
- Psychology intake and review of testing consent with a Registered Psychologist/Psychological Associate
- Two hours of standardized testing with a Psychometrist Multidisciplinary Team review of testing results and questionnaire responses
- Multidisciplinary Team review of testing results and questionnaire responses
- Psychology Feedback covering results, diagnoses, and recommendations
- Psychiatry Consultation with a review of symptoms and your updated Treatment Plan
- Psychoeducation and Treatment Planning session with a Nurse Practitioner (NP), including a discussion of medication options
- Detailed written report with accommodation recommendations
- No referral from your physician or NP required
OHIP & Insurance:
The Physician (MD) component is covered by OHIP for eligible Ontario residents with a valid health card. A Psychologist/Psychological Associate and psychometric testing are included, so this assessment falls under Psychological Services and is structured to support private insurance reimbursement.*
*Please check with your insurance provider to confirm coverage.
Returning Client? Save 10%
If you have received an assessment at the Possibilities Clinic previously, a 10% discount through our Loyalty Program will be applied to the cost of our Signature ADHD Update Assessment, or to our ADHD Direct Update Assessment and Treatment Planning Service if you choose that option. Some exclusions apply. Please speak with our Care Team to see if you are eligible.
Frequently Asked Questions
Everything You Need to Know
Our service involves a Nurse Practitioner (NP), a Psychologist/Psychological Associate and a Psychiatrist (MD) and includes 6 core sessions:
- Initial Medical Intake (50 minutes): A Nurse Practitioner gathers updated medical information about your symptoms and the effectiveness of your current Medication Treatment Plan along with other therapies you’ve tried.
- Psychology Intake (50 minutes): A Psychologist/Psychological Associate gathers more information about your current functioning and mental health, explains the psychometric testing, and reviews consent.
- Psychometric Testing (2 hours): A Psychometrist administers standardized testing that includes measures of attention, impulsivity, and executive functioning.
- Psychology Feedback (50 minutes): A Psychologist/Psychological Associate reviews the results and diagnoses from the updated assessment.
- Psychiatry Consultation (50 minutes): A Psychiatrist reviews assessment results and your updated Treatment Plan.
- NP Treatment Planning (30 minutes): A Nurse Practitioner discusses the next steps in a personalized Treatment Plan. If you’re interested in ADHD medication, the NP will discuss medication options with you.
The ADHD Direct Update Assessment and Treatment Planning Service involves a Nurse Practitioner (NP) and Psychometrist who are seen over a series of 3 appointments. The Signature ADHD Update Assessment and Treatment Planning Service involves a larger Multidisciplinary Team with a Nurse Practitioner (NP), Psychologist/Psychological Associate, Psychometrist and Psychiatrist, who are seen over 6 appointments.
No. You do not need a referral from a Primary Care Physician or Nurse Practitioner. You can get started by completing our Intake Form
Yes. If you were assessed elsewhere, we ask that you share a copy of your previous assessment report with us. Our team will review the report to determine whether the diagnostic process was comprehensive and rigorous. We look for evidence that clinical interviews, questionnaire data, and rating scales of focus and executive functioning were part of your previous assessment.
If the previous report meets our standards, you will qualify for the ADHD Direct Update Assessment. If not, we’ll recommend a comprehensive assessment — either our ADHD Direct Assessment or our Signature ADHD & Mental Health Assessment — to ensure diagnostic accuracy.
If your previous assessment was completed at Possibilities Clinic, your report is already in our medical system and you automatically qualify.
You may seek an updated assessment if your previous report — from Possibilities Clinic or elsewhere — was completed within the last 10 years. If your previous assessment is older than 10 years, we recommend a full ADHD Direct Assessment or a Signature ADHD & Mental Health Assessment to verify the diagnosis and create a tailored Treatment Plan.
Only Medical Doctors are covered by OHIP. Allied health professionals like Nurse Practitioners, Psychologists/Psychological Associates, and Psychometrists are not. Since Psychology is a core part of the Signature ADHD Update’s Multidisciplinary Team, this assessment falls under our Psychological Services. Please check with your insurance provider to see if assessment services provided by a Psychologist/Psychological Associate are covered.
You can find information about funding options, bursaries, and medical loans for assessments here.
Yes. Following the assessment, you have the option to enter our Medication Optimization phase. A Nurse Practitioner will work with you to find the right medication and dosage over a series of monthly appointments ($100 per session).
Once the optimal medication and dose are determined, you can continue with Continued Treatment — regular check-ins roughly every 3 months to manage refills and make adjustments as needed ($100 per session).
Both Medication Optimization and Continued Treatment are optional and not included in the $2,700 assessment fee.
Yes. You will receive a detailed report that includes recommended accommodations to help support daily functioning in settings like school or work.
In your NP Treatment Planning session, the Nurse Practitioner will discuss potential medication treatment options if an ADHD diagnosis has been reconfirmed. If the NP discusses medication as an important component of your treatment, you’ll have the option of having your medication adjusted, optimized, and prescribed through Possibilities after the assessment at a cost of $100 per session.
Possibilities Clinic is virtual-first, meaning most of our assessments are done through secure video sessions. Appointments with the Nurse Practitioner, Psychologist/Psychological Associate and Psychiatrist all happen virtually. For some clients—particularly younger children—the testing with the Psychometrist happens in-person at our Toronto office. For most clients the Psychometry testing session happens virtually. What is preferable for the testing session with the Psychometrist can be discussed with our Care Team when you book your appointments.
If you have received an assessment at the Possibilities Clinic previously, a 10% discount through our Loyalty Program will be applied to the cost of our Signature ADHD Update Assessment, or to our ADHD Direct Update Assessment and Treatment Planning Service if you choose that option. Some exclusions apply. Please speak with our Care Team to see if you are eligible.
We can help! Possibilities Clinic offers a complimentary 20-minute session with a member of our Next Steps Navigation Team. These are professionals from education and healthcare who will listen to your questions, discuss your concerns, and help you clarify your next steps.
To book, please complete our Intake Form. If you’ve already submitted one, contact us at info@possibilitiesclinic.com or 1-833-482-5558.
Not Sure Where to Start?
Book a FREE 20-minute session with our Next Steps Navigation Team — education and healthcare professionals who’ll help you figure out the right path. Complete our Intake Form to get started, or call us at 1-833-482-5558.
Reassess. Realign. Refocus.
Your ADHD journey doesn’t end with a diagnosis. Make sure your treatment plan — and your documentation — is keeping up with your life.
Or call 1-833-482-5558 | Email info@possibilitiesclinic.com
