Neuropsychological and Forensic Evaluations

Neuropsychological and Forensic evaluations take into consideration the totality and complexity of each individual. Human behavior is complex, and requires an understanding of each individual’s neurobiological, psychological, social, and cultural background. The process of consultation involves review of available records in all pertinent ares (e.g., legal, educational, occupational, medical, etc.), conducing a comprehensive clinical interview with patient, as well as collateral interviews of others familiar with the individual.

This information is integrated through the administration of a comprehensive battery of tests that measure functioning across multiple neuropsychological domains which, depending on the reason for referral, will include a combination the following:

  • Overall Cognitive/Intellectual Functioning
  • Attention and Information Processing
  • Language Processing
    • Receptive Language Skills
    • Expressive Language Skills
  • Learning and Memory
    • Verbal learning and memory
    • Nonverbal learning and memory
  • Visual Spatial and Visual Constructional Processes
  • Executive Functions (examples of skills listed below)
    • Organization
    • Planning
    • Initiation of tasks
    • Self-monitoring
    • Impulse control
    • Mental flexibility
    • Working memory
  • Motor and Psychomotor Processing Skills
  • Academic Skills
    • Reading
    • Writing
    • Arithmetic
  • Functional Independence
    • Instrumental Activities of Daily Living
    • Functional Activities of Daily Living
  • Social-Emotional Functioning
    • Psychological Functioning
    • Personality Assessment
  • Motivation and Symptom Validity

Each evaluation is unique to the needs of the individual being evaluated. The score, nature and extent of testing is informed by the referral question(s) as well as how the client performs during the course of the evaluation. The evaluation includes the provision of feedback as well as a written report of the findings.

Capacity and Competency

An evaluation focused on the determination of capacity or competence is provided when there is question regarding an individual's ability to meaningfully communicate a decision or choice. There are numerous situations where this may be the case, such as the following:

- Decision pertaining to healthcare
- Capacity to appoint conservator or guardian
- Decision pertaining to finances
- Competence to stand triai

There are many factors that can adversely affect an individual's capacity. As such, it is imperative that the influence of these factors be evaluated in the context of the specific situation. For example, is the condition in question time limited or degenerative? Therefore, the purpose of this evaluation is to inform the extent to which an individual is able to make decisions or participate in the decision-making process, specific to the situation.

NeuroEducational Assessments (IDEA)

Dr. Fuentes brings a neuropsychological approach to Independent Educational Evaluations (IEE) that goes beyond the identification of eligibility, when present. The goal for each assessment is to obtain a comprehensive understanding of the student's processing skills across multiple neuropsychological domains that are required for effective learning. This process begins with the evaluation of several domains which can consist of a combination of the following:

- Overall cognitive functioning (i.e., thinking skills)
- Attention and information processing
- Language processing
- Memory and Learning
- Visual Processing
- Executive Processing
- Behavioral Functioning
- Psychomotor Functioning
- Academic Achievement

Subsequent to the evaluation of these neuropsychological processes, comprehensive assessment of learning in the context of academic subjects is performed, as appropriate. This typically includes measure of math, reading, and writing. Additional testing would be conducted as appropriate.

Personal and Organizational Consulting

Dr. Fuentes provides services to organizations for training and consultation. For additional information pertaining to these services, please fill out the contact information form.

Personal consultation is also provided to address personal, relational, and family issues. Please fill out a contact information form if you would like additional information or make an appointment.

Rates and Fee Schedule

Please contact the office for information regarding fees.

Clinical fees are $300.00/hour, and prorated accordingly based on the services rendered. This fee schedule does not apply to medical-legal or forensic work. Please contact our office for more detailed information pertaining to medical-legal/forensic fee schedule.

This office does not bill insurance or other third party carriers. Some insurance plans (e.g., PPO) have provisions for reimbursing a portion of services rendered by out-of-network providers. For your convenience our office can provide a bill of services provided; however, determination of reimbursement is made by each insurance company. We strongly recommend that you verify benefits (e.g., deductible, copay, etc.) with your insurance company prior to scheduling an appointment.

Payment is due at the time that services are rendered. Consultation and therapy sessions (e.g., individual, couples, family) paid in cash or credit card are due at the time that services are rendered. Neuropsychological or psychological testing must be paid in advance. If paying by check the payment must clear before the assessment date is reserved.