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Nevada — Pediatric Service

Autism Spectrum Disorder Evaluations for Children

Understanding the Service

What Is an Autism Evaluation?

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person communicates, interacts socially, and processes the world around them. No two children with autism present the same way — the “spectrum” reflects a wide range of strengths, challenges, and support needs.

An autism evaluation is a structured clinical assessment designed to determine whether a child’s behavioral, developmental, and communication patterns are consistent with a diagnosis of ASD. The evaluation draws on direct observation, clinical interviews, caregiver input, and standardized assessment tools.

A formal diagnosis opens the door to services, supports, educational accommodations, and therapies that can dramatically improve a child’s quality of life — and help families navigate with greater confidence and clarity. 

💡 Early diagnosis matters. Research consistently shows that children who receive appropriate support earlier experience better long-term developmental outcomes.

Common Signs Parents Notice

Who We Serve

Who Is This Evaluation For?

Our autism diagnostic service is designed for children in Nevada whose families are concerned about developmental differences, social communication challenges, or behaviors that may point toward autism. Whether you’re seeking a first-time evaluation or a second opinion, we’re here to help.

Young Children (Ages 2–5)

Early evaluation is especially impactful. If your toddler or preschooler shows delays in speech, limited social engagement, or repetitive behaviors, an early assessment can unlock critical early intervention services.

Referred by a Pediatrician

If your child's primary care doctor has flagged developmental concerns or referred you for a psychiatric evaluation, we can provide the comprehensive assessment your family needs after your appointment.

School-Age Children (Ages 6–12)

Many children reach school age before their differences become clearly apparent in peer and classroom settings. Evaluation helps identify support needs and guides IEP/504 accommodations.

School-Flagged Concerns

Teachers and school counselors frequently identify children who may benefit from evaluation. We work alongside schools to provide thorough clinical assessments that inform educational planning.

Teens & Adolescents

Some children — especially girls and those with strong verbal skills — go undiagnosed until their teen years. A clear diagnosis can relieve years of confusion and open pathways to meaningful support.

Families Seeking Clarity

You don't need a referral to seek answers. If you've been wondering whether your child's behavior fits an autism profile, trust your instincts — we're here to provide clear, compassionate answers.

Why It Matters

Benefits of an Autism Diagnosis

A diagnosis is not a label, it’s a key. It opens doors, provides language, and enables support that can transform a child’s daily life.
 

Access to Targeted Services

An official diagnosis qualifies children for Applied Behavior Analysis (ABA), speech therapy, occupational therapy, and other specialized interventions that are often covered by insurance.

Clarity for the Whole Family

Understanding why your child thinks and behaves the way they do reduces family stress, improves communication, and helps everyone respond with greater empathy and effectiveness.

A Roadmap for Support

Our comprehensive evaluation report doesn't just provide a diagnosis — it offers detailed, actionable recommendations so you know exactly what to do next.

Educational Accommodations

A diagnosis supports the development of Individualized Education Plans (IEPs) and 504 plans, ensuring your child receives the in-school support they're legally entitled to.

Earlier Intervention, Better Outcomes

Early intervention is the most effective tool for improving communication, social skills, and adaptive behaviors. The sooner a child is identified, the sooner support can begin.

Strengths-Based Understanding

We assess not just challenges but also your child's unique strengths and learning style. This holistic view helps families and educators build on what makes each child exceptional.

How It Works

The Evaluation Process, Step by Step

Our evaluation is thorough, compassionate, and centered around both your child and your family. Here’s what to expect from start to finish.

Schedule Your Appointment

Contact Care Anywhere Psychiatry to book your child's evaluation. Our team will gather basic intake information and answer any initial questions about the process, timeline, and cost. This is a cash-pay service while our Nevada insurance contracts are being finalized. In person visits ONLY.

Complete Pre-Evaluation Questionnaires

Before the appointment, parents or guardians will be asked to complete detailed developmental history forms and standardized behavioral questionnaires. We may also request input from your child's school or pediatrician. This background information is essential for an accurate assessment. This is where you will provide your child's school records, school psychologist cognitive assessment or Pediatrician screening.

Clinical Interview with Parents/Guardians

Our clinician will conduct a structured interview with the parent or caregiver to explore your child's developmental history, family history, current behaviors, social functioning, and your specific concerns. This is your opportunity to share everything you've observed.

Direct Evaluation of the Child

Our clinician will interact directly with your child using structured and semi-structured activities designed to assess social communication, play, language, and behavior. This is conducted in a calm, child-friendly environment. Depending on your child's age and needs, this portion may last one to several hours. This is where ADOS 2 will be performed in office.

Integration & Scoring

Following the evaluation session(s), our clinician will score and analyze all assessment data, review questionnaire results, integrate clinical observations, and formulate clinical impressions. This thorough review process ensures accuracy and nuance in the final report.

Feedback Session & Written Report

You'll receive a comprehensive written evaluation report detailing findings, diagnostic conclusions, your child's strengths and challenges, and specific recommendations. We'll also schedule a feedback appointment to walk through the report together and answer your questions. You'll never be left to figure it out alone. This will be a Telemedicine visit.

Assessment

Screening & Diagnostic Tools We May Use

There is no single test that can diagnose autism. Instead, a thorough evaluation pulls together parent interviews, developmental history, and direct observation of your child — often supported by standardized screening and diagnostic tools. Below is an overview of the instruments most commonly used in pediatric autism assessment, so you know what to expect and why each one matters.

Screening Tools

Screening tools are typically used earlier in the process to identify whether a child may be showing signs of autism and would benefit from a full diagnostic evaluation. Most are completed by parents or caregivers.

Autism Spectrum Rating Scales (ASRS) ASRS

The Autism Spectrum Rating Scales (ASRS) are standardized parent and teacher questionnaires used to help identify behaviors and developmental patterns commonly associated with Autism Spectrum Disorder (ASD). The ASRS helps evaluate social communication, behavioral patterns, sensory concerns, attention, peer interactions, and autism-related symptoms across multiple environments, including home and school/daycare settings. Information gathered from caregivers and teachers provides valuable insight into how a child functions in everyday settings and helps support a comprehensive autism evaluation.

Communication and Symbolic Behavior Scales CSBS

Designed for infants and toddlers up to 24 months. Parents report how often specific communication and symbolic behaviors appear, helping flag early red flags before verbal language fully develops. This is typically already completed

Parents' Evaluation of Developmental Status PEDS

A general, open-ended questionnaire completed by parents for children from birth through age 18. It screens development, behavior, social-emotional health, and autism risk, and is designed to encourage ongoing conversations between families and their pediatrician.

Modified Checklist for Autism in Toddlers, Revised, with Follow-Up M-CHAT-R/F

A one-page, parent-completed questionnaire for children 16 to 30 months old. Results are categorized as low, moderate, or high risk for ASD based on social, emotional, communicative, and developmental behaviors. This is one of the most widely used early screeners.

Childhood Autism Rating Scale CARS

A brief assessment for children over age 2 that combines two 15-item rating scales with a parent/caregiver questionnaire. he Childhood Autism Rating Scale, Second Edition (CARS-2) is a standardized assessment tool used to help evaluate autism-related behaviors, social communication patterns, emotional responses, sensory differences, and repetitive behaviors commonly associated with Autism Spectrum Disorder (ASD). The CARS-2 helps assess the severity and presentation of autism symptoms by combining clinical observation, caregiver information, and developmental history. The assessment may help identify both classic and higher-functioning presentations of autism depending on the child’s developmental and communication abilities.

Diagnostic Tools

If a screening indicates that further assessment is warranted, a clinician may use one or more diagnostic tools. No single tool is used in isolation — the most accurate diagnoses come from combining parent interviews, questionnaires, and direct observation of and interaction with your child.

ADAPTIVE FUNCTIONING TOOL

The Vineland-3 (Vineland Adaptive Behavior Scales, Third Edition) is a standardized assessment used to evaluate a child’s adaptive functioning and daily living skills. Adaptive functioning refers to how a child manages everyday activities compared to other children of the same age. The Vineland-3 helps assess important areas of functioning including communication, socialization, daily living skills, coping abilities, emotional regulation, and independence. This assessment provides valuable information about how a child functions at home, school, and in community settings.
Can the child: dress themselves? follow routines? communicate needs? interact socially? function at home/school? manage age-appropriate tasks?

DIAGNOSTIC AUTISM TOOLS

ADOS 2, A semi-structured, observation-based assessment that lets the clinician directly observe social interaction, communication, play, and imaginative use of materials. The ADOS-2 is widely considered the gold-standard tool for autism assessment (see the callout below for more detail).

The Autism Diagnostic Interview-Revised (ADI-R) is a comprehensive, standardized diagnostic interview used as part of the evaluation process for Autism Spectrum Disorder (ASD). The ADI-R is considered one of the primary evidence-based tools used in comprehensive autism assessments. The ADI-R is completed through a detailed caregiver interview focused on a child’s developmental history, communication development, social interaction patterns, behavioral functioning, sensory experiences, repetitive behaviors, emotional responses, and developmental milestones across childhood.

💡  A Closer Look at the ADOS-2

The ADOS-2 is one of the most trusted tools in autism assessment — and it is a key part of the comprehensive evaluations we provide. Unlike questionnaires that rely on parent report, the ADOS-2 is a direct-observation assessment. The clinician interacts with your child in real time using structured and semi-structured activities designed to draw out social, communicative, and play behaviors. It is suitable for individuals as young as 12 months through adulthood.

Why clinicians consider the ADOS-2 a gold-standard tool
  • Backed by decades of research and clinical validation
  • Provides objective, real-time observation by a trained evaluator
  • Uses multiple modules tailored to the child’s age and expressive language level
  • Standardized scoring reduces subjectivity and increases reliability

The Five ADOS-2 Modules:

ModuleWho it’s for
Toddler moduleAges 12–30 months who do not yet use phrase speech
Module 1Over 30 months, not using phrase speech
Module 2Using phrase speech but not yet verbally fluent
Module 3Verbally fluent children and adolescents
Module 4Verbally fluent older adolescents and adults

Each module typically takes 30 to 60 minutes and includes activities such as free play, storytelling, pretend play, or conversational tasks depending on the child’s developmental level. Throughout, our clinician observes and scores behaviors such as eye contact, response to name, use of gestures, shared enjoyment, and repetitive actions.

The ADOS-2 is a powerful tool, but it is only one piece of the diagnostic picture. We always pair it with developmental history, parent and caregiver interviews, and other standardized measures to arrive at a well-rounded, accurate diagnosis.

DEVELOPMENTAL / COGNITIVE FUNCTIONING TOOLS

The Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4) is a standardized developmental assessment used to evaluate developmental functioning in infants and young children. uses structured, play-based activities to evaluate developmental functioning in young children. It assesses cognitive development, communication and language skills, problem-solving abilities, motor development, social-emotional functioning, and adaptive behaviors.
The Kaufman Brief Intelligence Test, Second Edition (KBIT-2) is a standardized cognitive assessment used to estimate verbal and nonverbal cognitive functioning in children and adolescents. The KBIT-2 helps evaluate problem-solving abilities, verbal reasoning, nonverbal reasoning, language-based thinking skills, and overall cognitive functioning. This assessment may provide valuable information about a child’s learning style, developmental functioning, and cognitive strengths and weaknesses. Can the child: solve reasoning tasks? identify patterns? answer verbal questions? demonstrate intellectual reasoning?

QUALITATIVE / SENSORY / SOCIAL PROFILE TOOL

The MIGDAS-2 (Monteiro Interview Guidelines for Diagnosing Autism Spectrum Disorder, Second Edition) is a structured, sensory-based autism assessment tool used to help better understand social communication, sensory experiences, behavioral patterns, emotional responses, and autism-related characteristics. The MIGDAS-2 uses interactive discussion, observation, and sensory-based activities to help evaluate how a child experiences and interacts with the world around them. This assessment may provide valuable insight into communication style, social understanding, sensory processing differences, emotional regulation, interests, routines, and behavioral patterns commonly associated with Autism Spectrum Disorder (ASD).

Preparing Your Family

What Patients & Families Should Expect

Duration

Comprehensive autism evaluations are typically completed over approximately 3–4 visits depending on the child’s age, developmental level, cooperation, and testing needs Young children may need additional breaks or multiple sessions.

Parent Involvement

Parents and caregivers are an essential part of the process. You will be involved in both the preparation (questionnaires) and the evaluation itself (caregiver interview). Your observations and insights are invaluable clinical data.

No Diagnosis? Still Helpful.

If the evaluation does not result in an autism diagnosis, that information is still valuable. We will share what we observed, rule out other possible explanations, and provide any relevant referrals or recommendations.

Child-Friendly Environment

A diagnosis supports the development of Individualized Education Plans (IEPs) and 504 plans, ensuring your child receives the in-school support they're legally entitled to.

The Report

Expect to receive your written report within 30-60 days after the evaluation is complete. The report is detailed, readable, and written for families. It includes the diagnosis, clinical reasoning, and specific next-step recommendations.

Ongoing Support

Our relationship with your family doesn't end after the report. We're available to answer questions, assist with referrals to therapists and specialists, and provide ongoing psychiatric care as needed within our practice.

Pricing & Payment

A Note on Cost & Insurance

Currently a Cash-Pay Service

Our autism evaluation service for children is currently offered on a cash-pay / self-pay basis in Nevada. We are actively working to finalize our Nevada insurance contracts, and we anticipate accepting insurance in the near future.

We understand that evaluation costs can feel significant. Please contact our office directly to discuss pricing, payment plans, and available options. We're committed to making this process as accessible as possible for Nevada families. Final payments are due before report is given

We recommend that patients check with their insurance provider, as some plans may offer out-of-network reimbursement for psychiatric diagnostic services — your insurer may reimburse a portion of the evaluation cost even without an in-network contract.

Common Questions

Frequently Asked Questions

Autism can be reliably diagnosed as early as age 2, and early diagnosis is strongly encouraged. We evaluate children across a wide age range from toddlers through adolescence. Earlier diagnosis allows for earlier access to intervention services, which research shows leads to better outcomes.

Autism evaluations require in-person clinical observation and direct interaction with your child, so this service is conducted in person at our Nevada location. Telehealth is only appropriate for autism diagnostic assessments in the initial interview phase.

It’s best to already have your child assessed for developmental delay.  Bring that information with your Autism appointment.  If your child’s pediatrician or school has already provided documentation of concerns, bringing that information to the appointment is very helpful.

In addition, should you suspect a concern, Please visit Nevada Act Early to get information on developmental milestones . 

Contact Project ASSIST: Phone:   1-800-522-0066Email:    ProjectAssist@dhhs.nv.gov

For more information visit the NEIS website to find a location near you.

You can also reach out to this agency and call the number close to where you live Referral Pathway – Nevada Act Early. 

to get your child assessed.

(We are not associated with Nevada Act Early). 

There is no single test that can diagnose autism. A diagnosis is made by a qualified clinician based on a comprehensive review of behavioral history, direct clinical observation, caregiver interviews, and standardized assessment tools. Our clinicians integrate all of this information using established diagnostic criteria (DSM-5) to reach a clinical conclusion.

We’re happy to provide a second opinion or a re-evaluation if your child’s previous assessment is outdated, incomplete, or if you have concerns about the results. Please bring any prior reports or documentation to your appointment, this context helps us provide the most thorough evaluation possible.

Your evaluation report will include specific recommendations for next steps, which may include ABA therapy, speech-language therapy, occupational therapy, social skills groups, and school accommodations. Our team will walk you through these recommendations during your feedback session and assist with referrals. Care Anywhere Psychiatry can also continue to support your child’s ongoing psychiatric needs within our practice.  Additional referrals or evaluations may be recommended depending on assessment findings

However, please be aware,  completion of assessment tools and participation in the evaluation process does not guarantee a diagnosis of Autism Spectrum Disorder.

Autism is a lifelong neurodevelopmental condition. While many children make remarkable developmental progress especially with early, appropriate support, autism does not simply disappear. A child who appears to “outgrow” certain behaviors may have developed coping strategies that can mask significant underlying challenges. A proper evaluation ensures your child receives appropriate support at every stage of development.

Yes. Our in-person autism evaluation service for children is currently available to patients in Nevada only. If you are located in another state, please visit our main services page, we may offer telehealth psychiatric services in your state.

Ready to Get Answers?

Your Child Deserves Clarity and Support

Take the first step toward understanding your child’s unique needs. Our team is here to guide your family through every part of the evaluation process with expertise, warmth, and respect.